[go: up one dir, main page]

TW201811376A - Antibody-drug conjugates and therapeutic methods using the same - Google Patents

Antibody-drug conjugates and therapeutic methods using the same Download PDF

Info

Publication number
TW201811376A
TW201811376A TW106122147A TW106122147A TW201811376A TW 201811376 A TW201811376 A TW 201811376A TW 106122147 A TW106122147 A TW 106122147A TW 106122147 A TW106122147 A TW 106122147A TW 201811376 A TW201811376 A TW 201811376A
Authority
TW
Taiwan
Prior art keywords
antibody
drug conjugate
broad
spectrum neutralizing
drug
Prior art date
Application number
TW106122147A
Other languages
Chinese (zh)
Inventor
傑瑞 傑弗瑞
珍 湯
文森 溫 非 戴
大衛 提米爾庫夫
埃米爾 约翰 斐堤森
強森 戈登 韋瑟黑德
Original Assignee
英商葛蘭素史密斯克藍智慧財產權有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 英商葛蘭素史密斯克藍智慧財產權有限公司 filed Critical 英商葛蘭素史密斯克藍智慧財產權有限公司
Publication of TW201811376A publication Critical patent/TW201811376A/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6839Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting material from viruses
    • A61K47/6841Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting material from viruses the antibody targeting a RNA virus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/4985Pyrazines or piperazines ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/62Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
    • A61K47/65Peptidic linkers, binders or spacers, e.g. peptidic enzyme-labile linkers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6849Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a receptor, a cell surface antigen or a cell surface determinant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • A61P31/18Antivirals for RNA viruses for HIV
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/08Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses
    • C07K16/10Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses from RNA viruses
    • C07K16/1036Retroviridae, e.g. leukemia viruses
    • C07K16/1045Lentiviridae, e.g. HIV, FIV, SIV
    • C07K16/1063Lentiviridae, e.g. HIV, FIV, SIV env, e.g. gp41, gp110/120, gp160, V3, PND, CD4 binding site

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Virology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Immunology (AREA)
  • Epidemiology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Organic Chemistry (AREA)
  • Oncology (AREA)
  • AIDS & HIV (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cell Biology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Communicable Diseases (AREA)
  • Biochemistry (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Genetics & Genomics (AREA)
  • Peptides Or Proteins (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

The invention discloses an antibody-drug conjugate of Formula (I): (I)Ab-[L-Dn]xwherein: Abcomprises a broadly neutralizing anti-HIV antibody; Lcomprises a linker molecule covalently bonded to said broadly neutralizing anti-HIV antibody; Dcomprises one or more drugs comprising an HIV therapeutic compound covalently bonded to said linker molecule L, wherein said one or more broadly neutralizing anti-HIV antibodies Ab specifically bind to an HIV envelope glycoprotein and said one or more drugs D specifically bind to an HIV envelope glycoprotein; n is selected from 1-4; and x is selected from 1-12.

Description

抗體-藥物結合物及使用其之治療方法Antibody-drug conjugate and treatment method using the same

本發明係關於抗體-藥物結合物、醫藥組合物及其用於感染HIV之個體之方法。The present invention relates to antibody-drug conjugates, pharmaceutical compositions and methods for individuals infected with HIV.

人類免疫缺乏病毒(HIV 1型及2型)導致感染後天性免疫缺乏疾病(AIDS)。不幸地,HIV之病例數目持續上升,且目前世界範圍內超過二千五百萬個體罹患該病毒。目前,用抗逆轉錄病毒藥物長期抑制病毒複製係用於治療HIV感染之唯一選擇。實際上,美國食品藥物管理局(U.S. Food and Drug Administration)已審批通過6種不同抑制劑類別之二十五種藥物,該等藥物已展示大大提高患者存活率及生活品質。然而,由於包括(但不限於)以下之多種問題,仍需要其他療法:非所需藥物-藥物相互作用;藥物-食物相互作用;對療法之不遵從性;由病毒標靶突變引起之抗藥性;以及與由HIV感染所致之免疫損傷相關之發炎。 當前,幾乎所有HIV陽性患者均用稱為高活性抗逆轉錄病毒療法(「HAART」)之抗逆轉錄病毒藥物組合之治療方案治療。然而,HAART療法常常為複雜的,因為常常必須每天向患者投與不同藥物之組合以避免快速出現抗藥性HIV變異體。儘管HAART對患者存活具有積極影響,但仍可能出現抗藥性且生活品質相比於未感染人員未達到正常[Lohse Ann Intern Med 2007 146;87-95]。實際上,數種非AIDS發病及死亡(諸如心血管疾病、虛弱及神經認知障礙)之發生率在受HAART抑制之HIV感染患者中有所升高[Deeks Annu Rev Med 2011;62:141-155] 。此升高之非AIDS發病/死亡發生率發生在與由HIV感染所致之免疫損傷相關之全身炎症增加的情況下且可能由其所導致[Hunt J Infect Dis 2014] [Byakagwa J Infect Dis 2014][Tenorio J Infect Dis 2014]。 現代抗逆轉錄病毒療法(ART)雖然能夠有效抑制HIV複製且改善HIV感染人員之健康狀況,但認為其不能夠完全去除個體體內之HIV病毒庫。HIV基因組可潛伏在感染個體體內之大多數免疫細胞內且可在任何時間再活化,從而使得在中斷ART後,病毒複製通常在數週內恢復。在少數個體體內,此病毒庫之大小已顯著減小且ART停止時病毒複製之反彈已延緩[Henrich TJ J Infect Dis 2013][Henrich TJ Ann Intern Med 2014]。在一個病例中,病毒庫在白血病治療期間消除且在數年隨訪期間未觀察到病毒反彈[Hutter G N Engl J Med 2009]。此等實例表明如下概念:減小或消除病毒庫係可能的且可緩解或治癒病毒。因而,已藉由直接分子手段實行消除病毒庫之方法,該等方法包括使用CRISPR/Cas9系統切除病毒基因組,或在ART期間誘導潛伏庫之再活化以便消除潛伏細胞。潛伏庫之誘導通常導致潛伏感染細胞之直接死亡或在使病毒可見後藉由免疫系統殺滅經誘導之細胞。當在ART期間執行此誘導時,咸信所產生之病毒基因組不會感染新生細胞且庫大小可衰減。 即使HAART獲得成功,但隨著時間推移,病毒最終產生抗藥性,使得一直需要未來ART。除HIV之外源性治療以外,免疫系統亦在感染過程期間產生HIV之抗體,主要靶向HIV包膜蛋白gp160。此等抗體結合於病毒粒子且中和病毒粒子感染其他標靶細胞之能力。最新技術已提供將中和抗體與感染個體分離之平台且隨著時間推移已發現中和gp160不同序列之較佳抗體。藉由輸注至HIV感染個體或相關模型內,探索作為ART之各種廣譜中和抗體(bNAb)。此類bnAb亦可解決諸如患者順應性之問題,此歸因於相比於歷史ART小分子,其循環半衰期更長且可產生每月一次或甚至更久之給藥方案。 鑒於以上,此項技術中持續需要開發用於治療HIV感染個體及解決如患者順應性及ART給藥頻率之潛在減少之此類問題的其他治療方法。此外,需要採用靶向gp160之改善手段以試圖提高所抑制之gp160多樣性之廣度且藉由在與由多種小分子提供之HAART相似的一種試劑內提供多種抗病毒標靶來改善耐久性。Human immunodeficiency viruses (HIV types 1 and 2) cause acquired immunodeficiency diseases (AIDS). Unfortunately, the number of HIV cases continues to rise, and more than 25 million individuals worldwide currently have the virus. At present, the long-term inhibition of viral replication with antiretroviral drugs is the only option for the treatment of HIV infection. In fact, the U.S. Food and Drug Administration (U.S. Food and Drug Administration) has approved 25 drugs in 6 different inhibitor classes, and these drugs have been shown to greatly improve patient survival and quality of life. However, due to various problems including (but not limited to) the following, other therapies are still needed: undesired drug-drug interactions; drug-food interactions; non-compliance with therapies; drug resistance caused by viral target mutations ; And inflammation associated with immune damage caused by HIV infection. Currently, almost all HIV-positive patients are treated with a combination of antiretroviral drugs called highly active antiretroviral therapy ("HAART"). However, HAART therapy is often complicated because it is often necessary to administer a combination of different drugs to patients daily to avoid rapid emergence of drug-resistant HIV variants. Although HAART has a positive effect on patient survival, drug resistance may still occur and the quality of life may not be normal compared to uninfected people [Lohse Ann Intern Med 2007 146; 87-95]. In fact, the incidence of several non-AIDS morbidities and deaths (such as cardiovascular disease, frailty, and neurocognitive disorders) has increased in HIV-infected patients suppressed by HAART [Deeks Annu Rev Med 2011; 62: 141-155 ]. This increased incidence of non-AIDS morbidity / death occurs in the context of increased systemic inflammation associated with immune damage caused by HIV infection and may be caused by it [Hunt J Infect Dis 2014] [Byakagwa J Infect Dis 2014] [Tenorio J Infect Dis 2014]. Although modern antiretroviral therapy (ART) can effectively inhibit HIV replication and improve the health status of HIV-infected persons, it is believed that it cannot completely remove the HIV virus pool in individuals. The HIV genome can be lurking in most immune cells in infected individuals and can be reactivated at any time, so that after ART is interrupted, viral replication usually resumes within a few weeks. In a few individuals, the size of this virus library has been significantly reduced and the rebound of virus replication has been delayed when ART is stopped [Henrich TJ J Infect Dis 2013] [Henrich TJ Ann Intern Med 2014]. In one case, the virus bank was eliminated during leukemia treatment and no viral rebound was observed during several years of follow-up [Hutter G N Engl J Med 2009]. These examples demonstrate the concept of reducing or eliminating the possibility of virus pools and alleviating or curing viruses. Thus, methods for eliminating the virus bank have been implemented by direct molecular means, including the use of the CRISPR / Cas9 system to excise the viral genome, or inducing reactivation of the latent bank during ART to eliminate the latent cells. The induction of latent pools usually results in the direct death of latently infected cells or killing the induced cells by the immune system after making the virus visible. When this induction is performed during ART, the virus genome produced by Xianxin will not infect new cells and the pool size may be attenuated. Even if HAART succeeds, the virus eventually develops drug resistance over time, making future ART always needed. In addition to exogenous treatment of HIV, the immune system also produces antibodies to HIV during the infection process, mainly targeting the HIV envelope protein gp160. These antibodies bind to virus particles and neutralize the ability of the virus particles to infect other target cells. The latest technology has provided a platform for separating neutralizing antibodies from infected individuals and over time has found better antibodies that neutralize different sequences of gp160. Explore various broad-spectrum neutralizing antibodies (bNAb) as ART by infusion into HIV-infected individuals or related models. Such bnAbs can also solve problems such as patient compliance, due to a longer circulating half-life compared to historical ART small molecules and can result in a dosing regimen once a month or even longer. In light of the above, there is a continuing need in this technology to develop other treatments for treating HIV-infected individuals and addressing such issues as patient compliance and potential reduction in ART dosing frequency. In addition, improvement measures targeting gp160 are needed in an attempt to increase the breadth of gp160 diversity that is inhibited and improve durability by providing multiple antiviral targets in a reagent similar to HAART provided by multiple small molecules.

在一個態樣中,本發明提供一種式(I)之抗體-藥物結合物:Ab-L-D (I) 其中: Ab包含廣譜中和抗體(broadly neutralizing antibody); L包含共價鍵結於該廣譜中和抗體之連接子分子;且 D包含共價鍵結於該連接子分子之一或多種藥物,該一或多種藥物特異性結合於該HIV包膜醣蛋白。 在另一態樣中,本發明提供一種式(II)之抗體-藥物結合物:(II) Ab-[L-Dn ]x 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV附著抑制劑化合物,共價鍵結於該連接子分子,其中該一或多種廣譜中和抗HIV抗體特異性結合於HIV包膜醣蛋白; n選自1至4;且 x選自1至12。 亦提供包含式(I)及式(II)之抗體-藥物結合物之醫藥組合物及用(I)及式(II)之抗體-藥物結合物治療HIV感染患者之方法。 本發明涵蓋如本文所闡述之此等及其他態樣。In one aspect, the invention provides an antibody-drug conjugate of formula (I): Ab-LD (I) wherein: Ab contains a broad-spectrum neutralizing antibody; L contains a covalent bond to the The linker molecule of the broad-spectrum neutralizing antibody; and D includes one or more drugs covalently bonded to the linker molecule, and the one or more drugs specifically bind to the HIV envelope glycoprotein. In another aspect, the present invention provides an antibody-drug conjugate of formula (II): (II) Ab- [LD n ] x where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a covalent bond Linker molecules that neutralize anti-HIV antibodies in the broad spectrum; D contains one or more drugs, the one or more drugs include HIV attachment inhibitor compounds, covalently bonded to the linker molecules, wherein the one or more broad spectrum The neutralizing anti-HIV antibody specifically binds to the HIV envelope glycoprotein; n is selected from 1 to 4; and x is selected from 1 to 12. Also provided are pharmaceutical compositions comprising antibody-drug conjugates of formula (I) and formula (II) and methods of treating HIV-infected patients with antibody-drug conjugates of (I) and formula (II). The present invention covers these and other aspects as set forth herein.

本申請案主張2016年7月1日申請之美國臨時專利申請案序列號62/357,410之優先權。本申請案之內容以全文引用的方式併入本文中。 在本申請案中,提及關於化合物、組合物及方法之多個實施例。該多個實施例意欲提供各種說明性實例且不應將其解釋為替代物種之描述。相反應注意,本文中所提供之多個實施例之描述可能範疇重疊。本文中所論述之實施例僅為說明性的且並不意謂限制本發明之範疇。應瞭解,本文中所用之術語僅出於描述特定實施例之目的且並不意欲限制本發明之範疇。在本說明書及隨後申請專利範圍中,將提及多個術語,該等術語應經定義而具有以下含義。 本文中所引用之所有頒予之專利、公開之專利申請案及其他公開案均視為以全文引用之方式併入。 在一個態樣中,本發明提供一種式(I)之抗體-藥物結合物:Ab-L-D (I) 其中: Ab包含廣譜中和抗體; L包含共價鍵結於該廣譜中和抗體之連接子分子;且 D包含共價鍵結於該連接子分子之一或多種藥物,其中該一或多種藥物特異性結合於該HIV包膜醣蛋白。 在另一態樣中,本發明提供一種式(II)之抗體-藥物結合物:Ab-[L-Dn ]x (II) 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV附著抑制劑化合物,共價鍵結於該連接子分子,其中該一或多種廣譜中和抗HIV抗體特異性結合於HIV包膜醣蛋白; n選自1至4;且 x選自1至12。 在又一態樣中,本發明提供一種式(II)之抗體-藥物結合物:Ab-[L-Dn ]x (II) 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV附著抑制劑化合物,共價鍵結於該連接子分子,其中該一或多種廣譜中和抗HIV抗體特異性結合於HIV包膜醣蛋白; n選自1至2;且 x選自2至4。 在又一態樣中,本發明提供一種式(II)之抗體-藥物結合物:Ab-[L-Dn ]x (II) 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV附著抑制劑化合物,共價鍵結於該連接子分子,其中該一或多種廣譜中和抗HIV抗體特異性結合於HIV包膜醣蛋白; n為1;且 x為2。 在另一態樣中,本發明提供一種式(I)之抗體-藥物結合物:Ab-L-D (I) 其中: Ab包含對HIV包膜醣蛋白具有結合親和力之廣譜中和抗體; L包含共價鍵結於該廣譜中和抗體之一或多種連接子分子;且 D包含共價鍵結於該一或多種連接子分子之一或多種藥物,該一或多種藥物能夠結合於該HIV包膜醣蛋白。 在另一態樣中,本發明提供一種式(I)之抗體-藥物結合物:(I) Ab-[L-Dn ]x 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV治療化合物,共價鍵結於該連接子分子L,其中該一或多種廣譜中和抗HIV抗體Ab特異性結合於HIV包膜醣蛋白且該一或多種藥物D特異性結合於HIV包膜醣蛋白; n選自1至4;且 x選自1至12。 較佳地,n選自1至2;且 x選自2至4。 更佳地,n為1;且 x為1或2。 在另一態樣中,本發明提供一種式(I)之抗體-藥物結合物: (I)Ab-[L-Dn ]x 其中: Ab包含廣譜中和抗HIV抗體; L包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子; D包含一或多種藥物,該一或多種藥物包含HIV治療化合物,共價鍵結於該連接子分子L,其中該一或多種廣譜中和抗HIV抗體Ab特異性結合於HIV包膜醣蛋白且該一或多種藥物D特異性結合於HIV包膜醣蛋白; n選自1至4; x選自1至12,其中該抗體-藥物結合物包含(1)第一藥物D共價鍵結於第一連接子分子L,該第一連接子分子L共價鍵結於該廣譜中和抗體;及(2)第二藥物D共價鍵結於第二連接子分子L,該第二連接子分子L共價鍵結於該廣譜中和抗體。 在一個實施例中,第一藥物D與第二藥物D相同。 在一個實施例中,第一藥物D與第二藥物D不同。 在一個實施例中,第一連接子與第二連接子可相同或不同。在一個實施例中,第一藥物及第一連接子在不同於第二藥物及第二連接子之位置附接於廣譜中和抗體。 「抗體」定義為至少包括特異性識別及結合抗原之抗原決定基之輕鏈或重鏈免疫球蛋白可變區的多肽或其片段。抗體由重鏈及輕鏈構成,該等鏈中之每一者具有可變區,稱為可變重鏈(VH )區及可變輕鏈(VL )區。VH 區及VL 區一起負責結合由抗體識別之抗原。術語抗體包括完整免疫球蛋白,以及其變異體及部分,諸如單一可變域(例如,VH、VHH、VL、域抗體(DAB));Fab片段;F(ab)'2 片段;單鏈Fv蛋白(「scFv」);二硫鍵穩定化之Fv蛋白(「dsFv」);雙功能抗體;TANDABS等以及前述中任一者之修飾型式。scFv蛋白係其中免疫球蛋白之輕鏈可變區與免疫球蛋白之重鏈可變區藉由連接子結合之融合蛋白,而在dsFv內,鏈已突變成引入二硫鍵來穩定鏈之締合。該術語亦包括經基因工程改造之形式,諸如嵌合抗體(例如,人類化鼠抗體)、異結合抗體(諸如雙特異性抗體)。亦參見,Pierce Catalog and Handbook , 1994-1995 (Pierce Chemical Co., Rockford, IL);Kuby, J.,Immunology , 第3版, W.H. Freeman & Co., New York, 1997。 術語「單一可變域」係指包含表徵抗體可變域之序列的摺疊多肽域。其因此包括完整抗體可變域,諸如VH、VHH及VL;以及經修飾之抗體可變域,例如其中一或多個環已由不表徵抗體可變域之序列替換,或已截短或包含N末端或C末端延長之抗體可變域,以及至少保留全長結構域之結合活性及特異性之可變域的摺疊片段。單一可變域能夠獨立於不同可變區或域結合抗原或抗原決定基。「域抗體」或「DAB」可視為與「單一可變域」相同。單一可變域可為人類單一可變域,但亦包括來自其他物種之單一可變域,諸如嚙齒動物護士鯊及駱駝科VHH DABS。駱駝科VHH係衍生自包括駱駝、駱馬、羊駝、單峰駝及栗色駱馬之物種之免疫球蛋白單一可變域多肽,其產生天然不含輕鏈之重鏈抗體。此類VHH域可根據此項技術中可用之標準技術人類化,且認為此類結構域為「單一可變域」。如本文所使用,VH包括駱駝科VHH域。 通常,天然產生之免疫球蛋白具有藉由二硫鍵互連之重(H)鏈及輕(L)鏈。輕鏈存在兩種類型:拉目達(λ)及加巴(κ)。五種主要重鏈類別(或同型)決定抗體分子之功能活性:IgM、IgD、IgG、IgA及IgE。各重鏈及輕鏈含有恆定區及可變區,(該等區域亦稱作「域」)。以組合形式,重鏈及輕鏈可變區特異性結合抗原。輕鏈及重鏈可變區含有間雜有亦稱為「互補決定區」或「CDR」之三個高變區的「構架」區。已經界定構架區及CDR之範圍(參見Kabat等人,Sequences of Proteins of Immunological Interest , U.S. Department of Health and Human Services, 1991)。Kabat資料庫現線上維護。不同輕鏈或重鏈之構架區之序列在物種內相對保存。抗體之構架區-亦即構成輕鏈及重鏈之組合構架區用於將CDR定位且排列在三維空間內。 CDR主要負責結合於抗原之抗原決定基。各鏈之CDR通常稱為CDR1、CDR2及CDR3 (自N末端開始連續編號),且亦通常藉由特定CDR所位於之鏈鑑別。因此,VH CDR3 (另稱為CDRH3)係位於發現該VH CDR3之抗體重鏈之可變域中的CDR3,而VL CDR1 (另稱為CDRL1)係來自發現該VL CDR1之抗體輕鏈之可變域的CDR1。結合標靶蛋白之抗體將具有特定VH 區及VL 區序列,且因此具有特定CDR序列。具有不同特異性(諸如不同抗原之不同組合位點)之抗體具有不同CDR。儘管在抗體與抗體之間CDR不同,但僅CDR內有限數量之胺基酸位置直接參與抗原結合。CDR內之此等位置稱作特異性決定殘基(SDR)。在本說明書中,可變域序列及全長抗體序列內之胺基酸殘基根據Kabat編號慣例編號。類似地,除非另外指出,否則術語「CDR」、「CDRL1」、「CDRL2」、「CDRL3」、「CDRH1」、「CDRH2」、「CDRH3」遵循Kabat編號慣例。熟習此項技術者將清楚,存在可變域序列及全長抗體序列內之胺基酸殘基之替代編號慣例。亦存在CDR序列之替代編號慣例,例如陳述於Chothia等人. (1989) Nature 342: 877-883內之彼等慣例。抗體之結構及蛋白質摺疊可意謂其他殘基視為CDR序列之部分且技術人員將如此理解。可供技術人員使用之CDR序列之其他編號慣例包括「AbM」(University of Bath)及「接觸」(University College London)方法。可確定使用Kabat、Chothia、AbM及接觸方法中之至少兩者之最小重疊區域以提供「最小結合單元」。最小結合單元可為CDR之子部分。 下表1表示針對各CDR或結合單元使用各編號慣例之一種定義。Kabat編號方案用於表1中對可變域胺基酸序列編號。應注意,某些CDR定義可視所使用之個體公開案而變化。 1 「VH 」或「VH」之提及係指免疫球蛋白重鏈之可變區,包括Fv、scFv、dsFv或Fab之可變區。「VL 」或「VL」之提及係指免疫球蛋白輕鏈之可變區,包括Fv、scFv、dsFv或Fab之可變區。若以下行為能夠區別抗原與一或多種參考抗原,則抗體或其他活性劑「(例如特異性)結合於」抗原、「對」抗原「具有特異性」或(例如特異性)「識別」抗原,此係因為結合特異性並非絕對特性,而是相對特性。在其最常見形式中(且當不提及經定義之參考時),「結合」係指抗體或活性劑區別所關注之抗原與不相關抗原之能力,如例如根據以下方法中之一者測定。此類方法包含(但不限於)西方墨點法、ELISA試驗、RIA試驗、ECL試驗、IRMA試驗及肽掃描。可藉由標準顯色(例如,含有辣根過氧化物之二次抗體及含有過氧化氫之四甲基聯苯胺)進行評分。在某些孔內之反應藉由光學密度(例如在450 nm下)評分。典型背景(=負反應)可為0.1 OD;典型正反應可為1 OD。此意謂正/負差值可超過10倍。通常,不使用單一參考抗原,而是使用一組約三至五個不相關抗原(諸如奶粉、BSA、運鐵蛋白或類似物)進行結合特異性之測定。另外,「結合」且更詳言之「特異性結合」可指代抗體區別標靶抗原與一或多種密切相關之抗原(用作參考點)之能力。另外,「結合」可指抗體區別其標靶抗原之不同部分(例如不同域或區)或胺基酸殘基之一或多種關鍵胺基酸殘基或片段之能力。 「親和力」或「結合親和力」係指例如活性劑之單一結合位點(例如抗體或分子)與其結合搭配物(例如抗原)之間的非共價相互作用之強度總和。除非另有表明,否則如本文所用,「結合親和力」係指反映結合對(例如抗體與抗原)成員之間1:1相互作用之固有結合親和力。親和力可藉由此項技術中已知之常見方法量測,該等方法包括平衡方法(例如酶聯結免疫吸附劑分析法(ELISA)或放射免疫分析(RIA))或動力學(例如BIACORE分析)。一種用於量測親和力之特定方法為表面電漿子共振(SPR)。 舉例而言,關於術語「結合親和力」,在指定條件下,優先結合於特定標靶蛋白(諸如gpl20或gp160)且不大量結合於樣品或研究對象中存在之其他蛋白質或多醣之抗體稱為特異性結合於其標靶之抗體。在一個實施例中,親和力藉由Frankel等人, Mol. Immunol., 16: 101-106, 1979所描述之史卡查(Scatchard)方法的修改計算。在另一實施例中,結合親和力藉由抗原/抗體解離速率來量測。在又一實施例中,結合親和力藉由競爭放射免疫分析來量測。在若干實例中,高結合親和力可在約1×10-6 M至約1×10-12 M,且更佳在約1×10-8 M至約1×10-12 M範圍內。(10 nM至1 pM) (參見例如WO 2012/106578)。 「親合力」為例如考慮相互作用之價數時,兩個分子在多個位點彼此結合之強度總和。 查詢核酸序列與目標核酸序列之間的「一致性百分比」為表示為百分比之「一致性」值,其係當在進行逐對BLASTN比對後目標核酸序列具有與查詢核酸序列之100%查詢覆蓋率時,藉由BLASTN演算法計算。查詢核酸序列與目標核酸序列之間的此類逐對BLASTN比對係藉由使用在National Center for Biotechnology Institute網站上可獲得之BLASTN演算法之默認設置且關閉低複雜性區之過濾器來進行。重要地,查詢核酸序列可由在本文中之一或多個申請專利範圍內確定之核酸序列描述。 查詢胺基酸序列與目標胺基酸序列之間的「一致性百分比」為表示為百分比之「一致性」值,其係當在進行逐對BLASTP比對後目標胺基酸序列具有與查詢胺基酸序列之100%查詢覆蓋率時,藉由BLASTP演算法計算。查詢胺基酸序列與目標胺基酸序列之間的此類逐對BLASTP比對係藉由使用在National Center for Biotechnology Institute網站上可獲得之BLASTP演算法之默認設置且關閉低複雜性區之過濾器來進行。重要地,查詢胺基酸序列可由在本文中之一或多個申請專利範圍內確定之胺基酸序列描述。 查詢序列可與目標序列100%一致,或其相比於目標序列可包括至多一定整數個胺基酸或核苷酸變化,使得一致性%少於100%。舉例而言,查詢序列與目標序列至少50%、60%、70%、75%、80%、85%、90%、95%、96%、97%、98%或99%一致。此類變化包括至少一個胺基酸缺失、取代(包括保守性及非保守性取代)或插入,且其中該等變化可出現在查詢序列之胺基端或羧基端位置或彼等末端位置之間的任何地方,個別穿插於查詢序列內之胺基酸或核苷酸中間或查詢序列內之一或多個連續基團內。 一致性%可在整個查詢序列長度上測定,包括CDR。或者,一致性%可不包括CDR,例如CDR與目標序列100%一致且一致性變化%係在查詢序列之剩餘部分內,使得CDR序列固定/完整。 VH或VL序列可為具有至多10個胺基酸取代、添加或缺失之變異序列。舉例而言,變異序列可具有至多9個、8個、7個、6個、5個、4個、3個、2個或1個胺基酸取代、添加或缺失。 序列變化可不包括CDR,例如CDR與VH或VL (或HC或LC)序列相同且變化係在VH或VL (或HC或LC)序列之剩餘部分內,使得CDR序列固定/完整。 在若干實施例中,抗體之恆定區包括一或多個胺基酸取代以使抗體之活體內半衰期最佳化。IgG Ab之血清半衰期可藉由新生Fe受體(FcRn)調節。因此,在若干實施例中,抗體包括增加與FcRn之結合之胺基酸取代。若干此類取代為一般技術者已知,諸如在IgG恆定區以下各處之取代:T250Q及M428L (參見例如Hinton等人, J Immunol., 176:346-356, 2006);M428L及N434S (「LS」突變,參見例如Zalevsky等人, Nature Biotechnology, 28:157-159, 2010);N434A (參見例如Petkova等人, Int. Immunol., 18: 1759-1769, 2006);T307 A、E380A及N434A (參見例如Petkova等人, Int. Immunol., 18:1759-1769, 2006);以及M252Y、S254T及T256E (參見例如Dall' Acqua等人, J. Biol. Chem., 281:23514-23524, 2006)。所揭示之抗體可包含Fc多肽,該Fc多肽包括以上列出之任何取代,例如Fc多肽可包括M428L及N434。如所論述,根據本發明之抗體可經調適或經修飾以延長活體內血清半衰期且因此使得抗體在體內之功能活性的持續或滯留時間更長。適當地,此類經修飾之分子相比於未經調適之分子,清除率降低且平均滯留時間延長。延長之半衰期可改善治療分子之藥代動力學及藥力學特性且對改善患者順應性亦至關重要。 其他合適半衰期延長策略包括:PEG化、聚唾液酸化、羥乙基澱粉化、重組PEG模擬物、N-糖基化、O-糖基化、Fc融合、經工程改造之Fc、IgG結合、白蛋白融合、白蛋白結合、白蛋白偶合及奈米粒子。 不意欲受理論束縛,據報導IgG抗體之長半衰期視其與FcRn之結合而定。因此,已研究藉由工程改造恆定區,提高pH 6.0下IgG與FcRn之結合親和力同時維持相互作用之pH依賴性的取代(KUO, T. T.及AVESON, V. G. 2011. Neonatal Fc receptor and IgG-based therapeutics. MAbs, 3, 422-30)。 在成年哺乳動物中,FcRn (亦稱為新生Fc受體)能夠藉由充當結合IgG同型抗體且救助IgG同型抗體避免降解之保護受體而在維持血清抗體含量中起到關鍵作用。IgG分子由內皮細胞內吞,且若其結合於FcRn,則再循環至循環中。對比而言,未結合於FcRn之IgG分子進入細胞且靶向使其降解之溶酶體路徑。 咸信新生FcRn受體參與整個組織的抗體清除與轉胞吞作用(Kuo及Aveson, (2011))。可與人類FcRn相互作用之人類IgG1殘基包括Ile253、Ser254、Lys288、Thr307、Gln311、Asn434及His435。在此部分中描述之此等位置中之任一處的交換均能夠增加本發明抗體之血清半衰期及/或改變其效應特性。 如本文所描述之適用於本發明之方法的抗體可具有可提高FcRn之恆定域或其片段之親和力的胺基酸修飾。延長治療性及診斷性IgG多肽以及其他生物活性分子之半衰期能夠提供例如包括降低此等分子之給藥量及/或給藥頻率之益處。在一個實施例中,因此提供本發明之抗體,其包含具有一或多個胺基酸修飾之IgG恆定域之全部或部分(FcRn結合部分)。 已知有多種方法可延長半衰期(Kuo及Aveson, (2011)),包括透由包括丙胺酸掃描突變誘發、隨機突變誘發及篩選之技術產生以評估與FcRn之結合及/或活體內行為之胺基酸修飾。在突變誘發後進行計算策略亦可用於選擇一種胺基酸突變來進行突變。 儘管恆定區內之取代能夠改善治療性IgG抗體之功能,但在嚴格保守之恆定區內之取代可能在人類體內具有免疫原性之潛在風險,而在高度多樣化可變區序列內之取代的免疫原性可能較小。與可變區有關之報導包括對CDR殘基進行工程改造以改善與抗原之結合親和力及對CDR及構架殘基進行工程改造以改善穩定性且降低免疫原性風險。改善與抗原之親和力可藉由親和力成熟,使用隨機庫之噬菌體或核糖體展示來實現。 從基於序列及基於結構之合理設計有可能會獲得經改善穩定性。降低免疫原性風險(去免疫)可藉由各種人類化方法及移除T細胞抗原決定基來實現,該免疫原性風險可使用電子雜交技術來預測或藉由活體外分析來測定。另外,可變區已進行工程改造以降低pI。相比於野生型抗體,儘管具有可比較性的FcRn結合,但觀察到此等抗體之半衰期更長。若抗原介導之清除機制在抗體結合於抗原時正常降解抗體,則工程改造或選擇具有pH依賴性抗原結合之抗體以修改抗體及/或抗原半衰期,例如可縮短IgG2抗體半衰期。類似地,抗原:抗體複合物可影響抗原半衰期,藉由保護抗原免於典型降解過程而延長半衰期或藉助於抗體介導之降解而縮短半衰期。 咸理解,在生產抗體時,尤其視所用細胞株及抗原結合蛋白之特定胺基酸序列而定,可進行轉譯後修飾。舉例而言,此可包括某些前導序列之裂解、各種糖基化及磷酸化模式內不同糖部分之添加、脫醯胺、氧化、二硫鍵擾亂、異構化、C末端離胺酸削剪及N末端麩醯胺酸環化。本發明涵蓋已經受或經歷一或多次轉譯後修飾之抗原結合蛋白的使用。因此,本發明之「抗體」包括如先前所定義之已經歷諸如本文所述之轉譯後修飾的「抗體」。 脫醯胺係主要以約3:1比率將天冬醯胺(N)轉化為異天冬胺酸(異天冬胺酸鹽)及天冬胺酸(天冬胺酸鹽)(D)之酶反應。因此此脫醯胺反應與天冬胺酸鹽(D)至異天冬胺酸鹽之異構化有關。天冬醯胺之脫醯胺及天冬胺酸鹽之異構化二者均涉及中間產物丁二醯亞胺。麩醯胺酸殘基可以類似方式發生脫醯胺,程度低得多。脫醯胺可發生在CDR、Fab (非CDR區)或Fc區內。 氧化可發生在生產及儲存期間(亦即在存在氧化條件下)且導致蛋白質之共價修飾,藉由反應性氧物質直接誘發或藉由與氧化應激之次要副產物反應間接誘發。氧化主要發生在甲硫胺酸殘基,但可在色胺酸及游離半胱胺酸殘基處發生。氧化可出現在CDR、Fab (非CDR區)或Fc區內。 二硫鍵擾亂可發生在生產及基本儲存條件期間。在某些情況下,二硫鍵可斷裂或錯誤形成,從而導致不成對半胱胺酸殘基(-SH)。此等游離(不成對)硫氫基(-SH)可促進改組。 重鏈及/或輕鏈內之N末端麩醯胺酸(Q)及麩胺酸鹽(麩胺酸)(E)可能經由環化形成焦麩胺酸鹽(pGlu)。大多數pGlu形成發生在生產用生物反應器內,但其可非酶促方式形成,視加工之pH值及溫度以及儲存條件而定。通常在天然人類抗體內觀察到N末端Q或E之環化。 C末端離胺酸削剪係由羧基肽酶催化之酶反應,且其通常在重組及天然人類抗體內觀察到。此過程之變體包括由於來自重組宿主細胞之細胞酶而自一或兩個重鏈移除離胺酸。在投與人類個體/患者時可能導致任何剩餘C末端離胺酸之移除。 「連接子」(「L」)係指使抗體結合於一或多種藥物之物質(例如分子)。連接子可為可裂解連接子或其可為不可裂解連接子。連接子較佳不可裂解。不可裂解連接子保持藥物附接於抗體。或者,出於本發明之目的,連接子可使抗體例如偶合、結合、接合、連接、繫栓至一或多種藥物等等。在其他實施例中,連接子與抗體及藥物之結合係藉助於共價鍵。 「gp120」定義為來自HIV之包膜蛋白。此包膜蛋白最初在尺寸上合成為845至870個胺基酸之較長前驅蛋白,稱為gp160。gp160由細胞蛋白酶裂解成gp120及gp41。gp120含有HIV包膜醣蛋白複合物之大部分的暴露表面的外部結構域,且其為結合於細胞CD4受體與細胞趨化因子受體(諸如CCR5)二者之gp120。參見例如美國專利公開案第20160009789號。 「gp41」定義為含有跨膜域之HIV蛋白質且保持三聚體組態;其以非共價方式與gp120相互作用。HIV-1之包膜蛋白最初在尺寸上合成為845至870胺基酸之較長前驅蛋白,稱為gp160。gp160形成均三聚體且在高基氏體(Golgi apparatus)內經歷糖基化。活體內,其隨後由細胞蛋白酶裂解成gp120及gp41。gp41之一實例之胺基酸序列闡述於以引用之方式併入本文中之GENBANK.RTM. 寄存編號CAD20975 (在2009年10月16日可用) (SEQ ID NO:1)。應瞭解,gp41之序列可不同於GENBANK.RTM. 寄存編號CAD20975中給出之序列。gp41含有跨膜域且通常保持三聚體組態;其以非共價方式與gp120相互作用。參見例如美國專利公開案第20160009789號(gp120對比gp41)。 術語「gp160」係指具有160 kDa之分子量且含有不同糖基化位點之包膜蛋白。Gp160充當gp41與gp120二者之前驅體。出於本發明之目的,gp160係代表性包膜醣蛋白,且HXB2D為包膜序列之非限制性實例。關於HXB2D,參見例如https://www.hiv.lanl.gov/content/sequence/HIV/REVIEWS/HXB2.html ,其內容以引用之方式併入。 術語「包膜醣蛋白」或「醣蛋白」或「EnV」係指含有共價附接於多肽側鏈及暴露在HIV包膜之表面上的寡醣鏈(聚糖)。出於本發明之目的,在將抗體-藥物結合物投與個體後,HIV gp160包膜醣蛋白與抗體-藥物結合物結合。在一些實施例中,HIV gp160包膜醣蛋白結合於抗體-藥物結合物之抗體部分。 術語「廣譜中和抗體」(bNAb)定義為經由結合於HIV包膜醣蛋白(Env)(例如gp160)抑制病毒附著及細胞進入,作為非限制實例,在活體外50%抑制感染超過50%、60%、70%、80%、90%、95%、99%或更高之大組(超過100)之HIV-1包膜假型病毒及病毒分離物之抗體。參見例如美國公開專利申請案第20120121597號。 術語「藥物」係指HIV治療劑,其涵蓋例如在適當投與個體或細胞時能夠針對HIV誘導所需醫療、治療或預防作用之化合物或較大分子(例如蛋白質或肽)。舉例而言,在一個實施例中,抗體-藥物結合物係包含一或多個肽融合至重鏈及/或輕鏈之C端的融合蛋白且其中連接子為1至50個胺基酸長度。 出於本發明之目的,靶向之一個結合位點係CD4結合位點。在各種實施例中,廣譜中和抗體Ab在CD4結合位點結合於HIV包膜醣蛋白。如本文所定義,CD4係分化簇因子4多肽;係T細胞表面蛋白,其介導與MHC II類分子之相互作用。CD4亦在HIV-I感染期間用作HIV在細胞上之初級受體部位。已知CD4結合於HIV之gp120。CD4前驅體之已知序列具有疏水性信號肽、約370個胺基酸之胞外區、與II類MHC β鏈之跨膜域顯著一致之高疏水性延伸及40個殘基之高電荷胞內序列(Maddon, Cell 42:93, 1985)。術語「CD4」包括衍生自CD4之多肽分子,包括CD4片段,其藉由化學(例如酶)消化或基因工程改造方式產生。此類片段可為一或多個完整CD4蛋白域。CD4之細胞外域係由4個連續類似免疫球蛋白之區(D1、D2、D3及D4,參見Sakihama等人, Proc. Natl. Acad. Sci. 92:6444, 1995;美國專利第6,117,655號)組成,且已顯示胺基酸1至183參與gp120結合。舉例而言,衍生自CD4之結合分子或結合域將包含CD4蛋白質之足夠部分以介導該結合片段與CD4之天然或病毒結合位點之間的特異性及功能性相互作用。一種此結合片段包括CD4之D1與D2胞外域二者(DID2亦為可溶性CD4或sCD4 (其由D1D2D3及D4構成)之片段),儘管較小片段亦可提供CD4相似的特異性及功能性結合。gp120結合位點已定位至CD4之D1。參見例如美國公開專利申請案第20120282264號。 在另一實施例中,本發明包括在gp120-gp41界面結合HIV包膜醣蛋白之抗體。此類抗體包括(但不限於)選自8ANC195、35O22及PGT151之抗體。8ANC195之一實例闡述於美國公開案第20150361160號中。35O22之一實例闡述於美國公開案第20160022803號中。PGT151之一實例闡述於美國公開案第20150152167號中。 在另一實施例中,本發明包括結合於gp41近膜外部區(MPER)之抗體,包括(但不限於) 4E10、10E8、2F5及Z13e1。4E10之一實例闡述於美國公開案第20160009789號中。10E8之一實例闡述於PCT公開申請案第WO2013070776號中。2F5之一實例闡述於美國公開案第20150158934號中。Z13e1之一實例闡述於美國公開案第20120269821號中。此群組內之一較佳抗體係10E8。 用於結合於HIV包膜醣蛋白之較佳抗體包括(不限於) VRC01、VRC07、VRC07-523、3BNC117、NIH45-46、PGV04、b12、CH31及CH103。在其他實施例中,較佳抗體包括(不限於) VRC01、VRC01-LS、VRC07、VRC07-LS、VRC07-523、3BNC117、NIH45-46、PGV04、b12、CH31、CH103、N6及N6-LS。一尤其較佳抗體係VRC01,該VRC01之一實例揭示於Zhou等人,「Structural Basis for Broad and Potent Neutralization of HIV-1 by Antibody VRC01」,Science Express , 2010年7月8日, 第1-102頁,www.sciencemag.org /cgi/content/full/science.1192819/DC1中。更具體言之,VRC01可結合於gp120。VRC01能夠中和90% HIV病毒株/亞型。此類結合於gp120之抗體之另一實例為VRC01-LS,如WO2012106578中所揭示。此類結合於gp120之抗體之另一實例為VRC07,如WO2013086533中所揭示。 VRC07-523之一實例闡述於J. Virol, 88(21): 第12669-12682頁(2014年11月)中。3BNC117之一實例闡述於美國公開案第20140212458號中。NIH45-46之一實例闡述於美國公開案第20150274813號中。PGV04之一實例闡述於美國公開案第20130251726號中。b12之一實例闡述於美國公開案第20160009789號中。CH31之一實例闡述於美國公開案第20130251726號中。CH103之一實例闡述於美國公開案第20140212458號中。 在各種實施例中,廣譜中和抗體Ab係選自由以下組成之群:2G12、2F5、3BC176、3BNC60、3BNC117、4E10、8ANC131、8ANC195、10E8、10-1074、12A12、35O22、b12、B2530、CH01-04、CH103、CH31、HJ16、M66.6、N6、N6-LS、NIH45-46、PG9、PG16、PGDM1400、PGT121、PGT128、PGT135、PGT141-PGT145、PGT151、PGV04、VRC01、VRC01-LS、VRC07、VRC07-523、VRC07-LS及Z13。 鑒於以上,尤其較佳抗體係VRC01、VRC01-LS、N6、N6-LS、VRC07及VRC07-523。除以上之外,VRC01之揭示內容之一實例亦闡述於美國專利第8,637,036中。VRC01-LS之揭示內容之一實例闡述於WO 2012/106578中。N6及N6-LS之揭示內容之實例闡述於WO 2016/196975中。VRC07及VRC07-523之揭示內容之實例闡述於美國專利第8,637,036號、美國專利公開案第2014/0322163 A1號、WO 2016/196975及WO2017/79479中。 在一個實施例中,廣譜中和抗體Ab結合於選自由gp160、gp120及gp41組成之群之HIV包膜醣蛋白。 在一個實施例中,廣譜中和抗體Ab結合於HIV包膜醣蛋白gp120。 在一個實施例中,廣譜中和抗體Ab結合於HIV包膜醣蛋白gp41。 在本發明之一態樣中,廣譜中和抗體包含以下CDR中之任一個、兩個、三個、四個、五個或全部:CDRH1 (SEQ ID NO:3)、CDRH2 (SEQ ID NO:4)、CDRH3 (SEQ ID NO:5)、CDRL1 (SEQ ID NO:6)、CDRL2 (SEQ ID NO:7)及CDRL3 (SEQ ID NO:8)。在本發明之一實施例中,廣譜中和抗體包含SEQ ID NO:9之重鏈可變區及/或SEQ ID NO:10之輕鏈可變區。在本發明之一實施例中,廣譜中和抗體在重鏈之位置428處包含白胺酸殘基及在重鏈之位置434處包含絲胺酸殘基。在本發明之一實施例中,廣譜中和抗體包含具有與SEQ ID NO:11至少85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性之重鏈及/或具有與SEQ ID NO:13至少85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性之輕鏈。在本發明之一實施例中,廣譜中和抗體包含SEQ ID NO:12之重鏈。 在一實施例中,廣譜中和抗體包含具有與SEQ ID NO:9至少90%序列一致性之重鏈及具有與SEQ ID NO:10之至少90%序列一致性之輕鏈。 在一實施例中,廣譜中和抗體包含SEQ ID NO:11之重鏈,視情況包含SEQ ID NO:13之輕鏈。 在本發明之一態樣中,廣譜中和抗體包含以下CDR中之任一個、兩個、三個、四個、五個或全部:CDRH1 (SEQ ID NO:14)、CDRH2 (SEQ ID NO:15)、CDRH3 (SEQ ID NO:16)、CDRL1 (SEQ ID NO:17)、CDRL2 (SEQ ID NO:18)及CDRL3 (SEQ ID NO:19)。在一實施例中,廣譜中和抗體包含具有與SEQ ID NO:20至少90%序列一致性之重鏈及具有與SEQ ID NO:21至少90%序列一致性之輕鏈。在本發明之一實施例中,廣譜中和抗體包含SEQ ID NO:20之重鏈可變區及SEQ ID NO:21之輕鏈可變區。在本發明之一實施例中,廣譜中和抗體在重鏈之位置428處包含白胺酸殘基及在重鏈之位置434處包含絲胺酸殘基。在本發明之一實施例中,廣譜中和抗體包含具有與SEQ ID NO:22至少為85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性之重鏈及具有與SEQ ID NO:23至少85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性之輕鏈。 根據本發明,連接子分子共價鍵結於廣譜中和抗體。此類連接子之實例為此項技術中已知且較佳包括例如可裂解及不可裂解連接子。不可裂解連接子之實例可包括對酸或鹼不敏感之含有聚乙二醇鏈或聚乙烯鏈之連接子(諸如含有腙之連接子)、對還原劑或氧化劑不敏感之連接子(諸如含有二硫鍵之連接子),以及對可在細胞或循環系統內發現之酶不敏感之連接子。參見例如美國專利第8,470,980號及美國專利申請案第20090202536號。尤其較佳連接子之實例包括(但不限於)選自下文如下結構之彼等連接子。在此等實施例中,連接子係在本發明之各種抗體-藥物結合物之上下文中說明。指示為「bNAb」之化學部分表示各連接子所鍵結且處於連接子之彼位置處之廣譜中和抗體。同樣地,術語「藥物」表示各連接子所鍵結且處於連接子之彼位置處之HIV附著抑制劑化合物。連接子之其他實例包括(但不限於)如下闡述之連接子:在上述實施例中,bNAb及藥物各經由各種結合(例如半胱胺酸及離胺酸)附接於連接子。可使用其他合適連接子。 尤其合適連接子之實例及附接於抗體-藥物結合物之方法揭示於Perez等人, Drug Discovery Today, 第19卷, 第7期, (2014), 第869-881頁中。如其中所闡述,在化學結合之一非限制性實例中,附掛至藥物-連接子之反應性部分可經由胺基酸殘基側鏈(通常離胺酸之e-胺)共價接合於抗體。如用Mylotarg1所證明,可使用附加至藥物-連接子以形成穩定醯胺鍵之N-羥基丁二醯亞胺(NHS)酯將離胺酸殘基直接結合在吉妥單抗(gemtuzumab)上(參見例如Bros, P.F.等人, Approval summary: gemtuzumab ozogamicin in relapsed acute myeloid leukemia,Clin. Cancer Res. , 17, 第1490-1496頁 (2001)。亦可使用兩步法,其中抗體上之表面離胺酸首先經修改以引入諸如順丁烯二醯亞胺之反應性基團,且隨後結合於含有合適反應柄(例如硫醇)之藥物-連接子(參見例如Junutula, J.R.等人, Site-specific conjugation of a cytotoxic drug to an antibody improves the therapeutic index, Nat. Biotechnol., 26: 第925-932頁 (2008)。此項技術中已知之各種現有位點特異性結合方法可用於製備ADC。諸如thiomab藥物結合、經由麩胺醯胺轉胺酶之抗體藥物結合物、用於抗體藥物結合物之非天然胺基酸、SmarTag [參見例如Christopher R Behrens及Bin Liu, Methods for site-specific drug conjugation to antibodies, mAbs, 第6卷, 第1期, 第46-53頁 (2014)]。 根據本發明,抗體-藥物結合物包括共價鍵結於該連接子分子之一或多種藥物,該一或多種藥物能夠結合於該HIV包膜醣蛋白。作為一非限制性實例,該一或多種藥物係選自附著抑制劑。此亦涵蓋如下實施例,其具有共價鍵結於第一連接子分子之第一藥物,該第一連接子分子共價鍵結於bNAb;及共價鍵結於第二連接子分子之第二藥物,該第二連接子分子共價鍵結於bNAb。如本文所使用之術語「附著抑制劑」係指藉由干擾HIV病毒粒子結合、融合及進入人類細胞,用於治療HIV感染之藥物或藥劑(例如抗逆轉錄病毒劑)。附著抑制劑之實例包括(但不限於) gp120附著抑制劑及gp160附著抑制劑。附著抑制劑之實例包括(但不限於) gp120附著抑制劑、gp160附著抑制劑及gp41附著抑制劑。不意欲受理論束縛,在一個實施例中,附著抑制劑靶向gp160包膜蛋白(gp120+gp41)。附著抑制劑之實例係氮雜吲哚側氧乙醯哌嗪衍生物,且尤其較佳附著抑制劑具有下式:, 如美國專利第7,501,420號;第7,354,924號及第7,662,823號中所闡述。 藥物之其他實例包括(但不限於)肽(例如,如美國專利第6,133,418號及第6,475,491號中所描述)。舉例而言,藥物可為結合於CD4之肽。此類藥物之一較佳實例如以下所闡述之SEQ ID NO:2: Ac-Tyr-Thr-Ser-Leu-Ile-His-Ser-Leu-Ile-Glu-Glu-Ser-Gln-Asn-Gln-Gln-Glu-Lys-Asn-Glu-Gln-Glu-Leu-Leu-Glu-Leu-Asp-Lys-Trp-Ala-Ser-Leu-Trp-Asn-Trp-Phe-NH2 SEQ ID NO: 2稱為T-20,以商品名FUZEON®由Roche市售。 合適化合物之其他實例包括(例如)如下所闡述之化合物: 其為gp160附著抑制劑。 本發明亦提供可用作本文所揭示之抗體-藥物結合物中之藥物的式A化合物:其中: X及Y獨立地選自由以下組成之群:H、(C1 -C6 )烷基、(C1 -C6 )烷氧基、鹵基、側氧基、鹵烷基、二鹵烷基、三鹵烷基、鹵烷氧基、二鹵烷氧基、三鹵烷氧基、羥基、胺基、醯胺及(C1 -C6 )烷基-(C=O)-(C1-C6); R1 、R2 、R3 、R4 及R5 各自獨立地選自H或(C1 -C6 )烷基; m在0至5;更佳在1至4範圍內; n在0至5;更佳在1至4範圍內; r在0至6;更佳在1至6,最佳在1至4範圍內; p在0至6,更佳在1至6,最佳在1至4範圍內;且 q在0至6,更佳在1至6,最佳在1至4範圍內; 其中該式A化合物可經由R4 或R5 或Y附接於連接子。 在一個實施例中,關於式A 化合物: X係選自Cl及F;且m為2; Y係H; R1 、R2 、R3 、R4 及R5 各自獨立地為H; r在1至4範圍內;最佳為1; p在1至4範圍內;最佳為1;且 q在1至4範圍內;最佳為2。 一較佳式A 化合物為:。 此類化合物可根據以下合成製得:其中X、Y、m、n、R1 及R4 在上文中定義。 可與本發明之抗體結合使用之藥物-連接子對之實例包括(但不限於)如下: 其中表示與bNAb之附接。 抗體-藥物結合物之特定實施例如下: 其中t在1至12範圍內。 用於HIV治療之當前化合物及藥劑之實例包括各種其他進入及融合抑制劑,諸如AMD070、BMS-488043、福齊夫定替酯(Fozivudine tidoxil)、GSK-873,140 (阿拉韋羅(aplaviroc))、PRO 140、PRO 542、Peptide T、SCH-D (維立韋羅(vicriviroc))、TNX-355及UK-427,857 (馬拉韋羅(maraviroc));整合酶抑制劑,諸如GS 9137、MK-0518,如美國專利第9,259,433號中所闡述。 在一個非限制性態樣中,本發明涵蓋其中連接子藉由在抗體或抗原結合分子內之特定胺基酸處附接使抗體鍵結於藥劑之抗體-藥物結合物。參見例如美國專利第9,302,015號。可用於本發明之此態樣之情形中的例示性胺基酸附接包括例如:離胺酸(參見例如美國專利第5,208,020號;US 2010/0129314;Hollander等人, Bioconjugate Chem., 2008, 19:358-361;WO 2005/089808;美國專利第5,714,586號;US 2013/0101546;及US 2012/0585592)、半胱胺酸(參見例如US 2007/0258987;WO 2013/055993;WO 2013/055990;WO 2013/053873;WO 2013/053872;WO 2011/130598;US 2013/0101546;及美國專利第7,750,116號)、硒半胱胺酸(參見例如WO 2008/122039;及Hofer等人, Proc. Natl. Acad. Sci., USA, 2008, 105:12451-12456)、甲醯甘胺酸(參見例如Carrico等人, Nat. Chem. Biol., 2007, 3:321-322;Agarwal等人, Proc. Natl. Acad. Sci., USA, 2013, 110:46-51,及Rabuka等人, Nat. Protocols, 2012, 10:1052-1067)、非天然胺基酸(參見例如WO 2013/068874及WO 2012/166559),以及酸性胺基酸(參見例如WO 2012/05982)。連接子亦可經由附接於碳水化合物(參見例如US 2008/0305497、WO 2014/065661及Ryan等人, Food & Agriculture Immunol., 2001, 13:127-130)及二硫鍵連接子(參見例如WO 2013/085925、WO 2010/010324、WO 2011/018611及Shaunak等人, Nat. Chem. Biol., 2006, 2:312-313)結合於抗原結合蛋白質。 在其中抗體-藥物結合物內之藥物係肽或多肽(例如DAB)的一實施例中,連接子可為在一個或兩個抗體重鏈處或一個或兩個抗體輕鏈處使藥物肽或藥物多肽連接至抗體,從而產生融合蛋白之胺基酸連接子。在一實施例中,藥物肽或藥物多肽融合至抗體之一個或兩個重鏈之C末端。在一實施例中,胺基酸連接子之長度介於0與150個胺基酸之間,更具體言之,在另一實施例中例如介於0與50個胺基酸之間。 在另一態樣中,如本文所定義,本發明涵蓋其中一或多種藥物在兩個或超過兩個離散位置附接於抗體之抗體-藥物結合物。此態樣可包含(但不限於)本文中所定義之任何抗體、連接子及藥物。 此類抗體藥物結合物之特定實例係(但不限於):其中t及t'各自獨立地在1至12範圍內。 「治癒(Cure)或(Curing)」患者之疾病用於指代根除、停止、中斷或終止人類免疫缺乏病毒或症狀或者症狀或病毒之發展,持續所定義之時段。舉例而言,在一個實施例中,「治癒(Cure)或(Curing)」係指在無任何其他治療性干預下最少例如一年或兩年後,單獨或與一或多種藥劑組合誘導及維持人類免疫缺乏病毒之持久病毒控制(藉由例如聚合酶鏈反應(PCR)測試、bDNA (分支鏈DNA)測試或NASBA (基於核酸序列之擴增)測試,血漿病毒血症之水準不可偵測)的治療性投與或投與組合。以上PCR、bDNA及NASBA測試使用熟習此項技術者已知及熟悉之技術執行。舉例而言,人類免疫缺乏病毒或症狀或者症狀或病毒之發展的根除、停止、中斷或終止可維持最少兩年。 「治療(Treating)或(treatment)」患者之疾病係指1)防止傾向於患病或尚未顯示疾病症狀之患者發生疾病;2)抑制疾病或阻滯其發展;或3)改善疾病或使疾病消退。 根據本發明之一個實施例,提供一種包含如本文所闡述之抗體-藥物結合物及醫藥學上可接受之賦形劑的醫藥組合物。 根據本發明之一個實施例,提供一種治癒個體之HIV感染之方法,該方法包含向個體投與如本文所描述之抗體-藥物結合物。 根據本發明之一個實施例,提供一種治癒個體之HIV感染之方法,該方法包含向個體投與如本文所描述之醫藥組合物。 根據本發明之一個實施例,提供一種治療個體之HIV感染之方法,該方法包含向個體投與如本文所描述之抗體-藥物結合物。 根據本發明之一個實施例,提供一種治療個體之HIV感染之方法,該方法包含向個體投與如本文所描述之醫藥組合物。 根據本發明之一個實施例,提供一種預防處於發生HIV感染風險的個體之HIV感染的方法,該方法包含向該個體投與如本文所述之抗體-藥物結合物。 根據本發明之一個實施例,提供一種預防處於發生HIV感染風險的個體之HIV感染的方法,該方法包含向該個體投與如本文所述之醫藥組合物。 在本發明之另一實施例中,提供如本文所述之抗體-藥物結合物,其用作藥劑。 在本發明之另一實施例中,提供如本文所述之抗體-藥物結合物,其用於治癒HIV感染。 在本發明之另一實施例中,提供如本文所述之抗體-藥物結合物,其用於治療HIV感染。 在本發明之另一實施例中,提供如本文所述之抗體-藥物結合物,其用於預防HIV感染。 在本發明之另一實施例中,提供抗體-藥物結合物,其中其用於製造供治療人類HIV感染之藥劑。 在本發明之另一實施例中,提供抗體-藥物結合物,其中其用於製造供預防人類HIV感染之藥劑。 在本發明之另一實施例中,提供抗體-藥物結合物,其中該化合物或其鹽用於製造供治癒人類HIV感染之藥劑。 在一個實施例中,含有抗體-藥物結合物之醫藥調配物係適用於非經腸投與之調配物。在另一實施例中,該調配物係長效非經腸調配物。 本發明之抗體-藥物結合物可單獨或與其他治療劑組合使用。因此,在其他實施例中,除投與抗體-藥物結合物之外,治療及/或預防個體HIV感染之方法可進一步包含投與一或多種其他對抗HIV活性之藥劑。 在此類實施例中,該一或多種其他具抗HIV活性之藥劑係選自由以下組成之群:齊多夫定(zidovudine)、地達諾新(didanosine)、拉米夫定(lamivudine)、紮西他濱(zalcitabine)、阿巴卡韋(abacavir)、司他夫定(stavudine)、阿丹弗(adefovir)、阿德福韋酯(adefovir dipivoxil)、福齊夫定(fozivudine)、托多西爾(todoxil)、安卓西他賓(emtricitabine)、阿洛夫定(alovudine)、安多索韋(amdoxovir)、艾夫他濱(elvucitabine)、奈韋拉平(nevirapine)、地拉韋啶(delavirdine)、依法韋侖(efavirenz)、洛韋胺(loviride)、怡妙康(immunocal)、奧替普拉(oltipraz)、卡普拉林(capravirine)、樂斯瑞尼(lersivirine)、GSK2248761、TMC-278、TMC-125、依曲韋林(etravirine)、沙奎那韋(saquinavir)、利托那韋(ritonavir)、茚地那韋(indinavir)、奈非那韋(nelfinavir)、安普那韋(amprenavir)、夫沙那韋(fosamprenavir)、貝卡那韋(brecanavir)、地瑞那韋(darunavir)、阿紮那韋(atazanavir)、替拉那韋(tipranavir)、帕利那韋(palinavir)、拉西那韋(lasinavir)、恩夫韋地(enfuvirtide)、T-20、T-1249、PRO-542、PRO-140、TNX-355、BMS-806、BMS-663068及BMS-626529、5-Helix、雷特格韋(raltegravir)、埃替格韋(elvitegravir)、都魯拉韋(dolutegravir)、卡伯拉韋(cabotegravir)、維克利諾(vicriviroc)(Sch-C)、Sch-D、TAK779、馬拉維若(maraviroc)、TAK449、地達諾新(didanosine)、田諾弗(tenofovir)、洛匹那韋(lopinavir)以及地瑞那韋(darunavir)。 因而,本發明之抗體-藥物結合物及任何其他醫藥活性劑可共同或分別投與,且當分別投與時,投與可同時進行或按任何次序連續進行。本發明之抗體-藥物結合物及其他醫藥活性劑之量及相對投與時機將經選擇以達成所要組合治療效果。抗體-藥物結合物與其他治療劑之組合投與可呈藉由呈以下相伴投與進行組合:(1)包括兩種化合物之單一醫藥組合物;或(2)各自包括化合物之一之分開醫藥組合物。或者,組合可以依序方式分別投與,其中首先投與一種治療劑且其次投與另一第二治療劑或反過來。此類依序投與可時間上接近或時間上相距很遠。抗體-藥物結合物及其他醫藥活性劑之量及相對投與時機將經選擇以達成所要組合治療效果。 此外,抗體-藥物結合物可與適用於預防、治療或治癒HIV之一或多種其他藥劑組合使用。此類藥劑之實例包括:核苷酸逆轉錄酶抑制劑 ,諸如齊多夫定、地達諾新、拉米夫定、紮西他濱、阿巴卡韋、司他夫定、阿丹弗、阿德福韋酯、福齊夫定、托多西爾、安卓西他賓、阿洛夫定、氨多索韋、艾夫他濱、TDF、TAF 及類似藥劑;非核苷酸逆轉錄酶抑制劑 (包括具有抗氧化活性之藥劑,諸如怡妙康、奧替普拉等),諸如奈韋拉平、地拉韋定、依法韋侖、洛韋胺、怡妙康、奧替普拉、卡普拉林、樂斯瑞尼、GSK2248761、TMC-278、TMC-125、依曲韋林及類似藥劑;蛋白酶抑制劑 ,諸如沙奎那韋、利托那韋、茚地那韋、奈非那韋、安普那韋、夫沙那韋、貝卡那韋、地瑞那韋、阿紮那韋、替拉那韋、帕利那韋、拉西那韋及類似藥劑;整合酶抑制劑 ,諸如雷特格韋、埃替格韋、比特格韋(bictegravir)、都魯拉韋、卡伯拉韋及類似藥劑;成熟抑制劑 ,諸如PA-344及PA-457,及類似藥劑;以及GSK2838232。CXCR4 / CCR5 抑制劑 ,諸如維克維若(Sch-C)、Sch-D、TAK779、馬拉維若(UK 427,857)、TAK449,以及揭示於WO 02/74769、PCT/US03/39644、PCT/US03/39975、PCT/US03/39619、PCT/US03/39618、PCT/US03/39740及PCT/US03/39732中之彼等藥劑,以及類似藥劑。 其中本發明之抗體-藥物結合物可與適用於預防或治療HIV之一或多種藥劑組合使用之其他實例見於表2中。 2 本發明之抗體-藥物結合物與HIV藥劑之組合範疇不限於上述彼等藥劑,但原則上包括與適用於治癒、治療及/或預防HIV之任何醫藥組合物之任何組合。如所提及,在此類組合中,本發明之抗體-藥物結合物與其他HIV藥劑可分別或結合投與。此外,一種藥劑可在投與其他藥劑之前、與其同時或在其之後。 本發明可與適用作藥理學增強劑之一或多種藥劑以及與或不與用於預防或治療HIV之其他化合物組合使用。此類藥理學強化子(或藥代動力學加強劑)之實例包括(但不限於)利托那韋、GS-9350及SPI-452。利托那韋係[5S-(5S*,8R*,10R*,11R*)] 10-羥基-2-甲基-5-(1-甲基乙基)-1-1[2-(1-甲基乙基)-4-噻唑基]-3,6-二側氧基-8,11-雙(苯基甲基)-2,4,7,12-四氮雜十三烷-13-酸5-噻唑基甲基酯且可以Norvir自Abbott Laboratories of Abbott park, Illinois購得。利托那韋為與用於治療HIV感染之其他抗逆轉錄病毒藥劑一起指示之HIV蛋白酶抑制劑。利托那韋亦抑制P450介導之藥物代謝以及P-醣蛋白(Pgp)細胞運輸系統,進而使得生物內之活性化合物濃度升高。 GS-9350係由Gilead Sciences of Foster City California研發,作為藥理學增強劑之化合物。 SPI-452係由Sequoia Pharmaceuticals of Gaithersburg, Maryland研發,作為藥理學增強劑之化合物。 當與本文所述之化學實體組合使用時,上述其他治療劑可例如以Physicians' Desk Reference (PDR)中所指示或如一般技術者以其他方式測定之彼等量使用。 在本發明之另一實施例中,提供一種用於治療至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物。 在本發明之另一實施例中,提供一種用於治療至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,其中該病毒係HIV病毒。在一些實施例中,HIV病毒係HIV-1病毒。 在本發明之另一實施例中,提供一種用於治療至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,該方法進一步包含投與治療有效量之一或多種具抗HIV病毒活性之藥劑。 在本發明之另一實施例中,提供一種用於治療至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,該方法進一步包含投與治療有效量之一或多種具抗HIV病毒活性之藥劑,其中該具抗HIV病毒活性之藥劑係選自核苷酸逆轉錄酶抑制劑;非核苷酸逆轉錄酶抑制劑;蛋白酶抑制劑;進入、附著及融合抑制劑;整合酶抑制劑;成熟抑制劑;CXCR4抑制劑;及CCR5抑制劑。 在本發明之另一實施例中,提供一種用於預防至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物。 在本發明之另一實施例中,提供一種用於預防至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,其中該病毒係HIV病毒。在一些實施例中,HIV病毒係HIV-1病毒。 在本發明之另一實施例中,提供一種用於預防至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,該方法進一步包含投與治療有效量之一或多種具抗HIV病毒活性之藥劑。 在本發明之另一實施例中,提供一種用於治癒至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物。 在本發明之另一實施例中,提供一種用於治癒至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,其中該病毒係HIV病毒。在一些實施例中,HIV病毒係HIV-1病毒。 在本發明之另一實施例中,提供一種用於治癒至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,該方法進一步包含投與治療有效量之一或多種具抗HIV病毒活性之藥劑。 在本發明之另一實施例中,提供一種用於治癒至少部分由病毒之逆轉錄病毒家族中之病毒介導的哺乳動物體內之病毒感染之方法,該方法包含向已診斷患有該病毒感染或處於發生該病毒感染風險之哺乳動物投與抗體-藥物結合物,該方法進一步包含投與治療有效量之一或多種具抗HIV病毒活性之藥劑,其中該具抗HIV病毒活性之藥劑係選自核苷酸逆轉錄酶抑制劑;非核苷酸逆轉錄酶抑制劑;蛋白酶抑制劑;進入、附著及融合抑制劑;整合酶抑制劑;成熟抑制劑;CXCR4抑制劑;及CCR5抑制劑。 在另一實施例中,提供一種包含醫藥學上可接受之稀釋劑及治療有效量之抗體-藥物結合物的醫藥組合物。 如本文所使用,術語「醫藥學上可接受」係指在合理醫學判斷之範疇內,適用於與人類及動物之組織接觸但無過度毒性、刺激或其他問題或併發症之彼等抗體-藥物結合物、藥劑、化合物、材料、組合物及劑型。 本文所述之藥物投與可經由提供類似效用之藥劑之可接受投與模式中的任一者,包括(但不限於):經口、舌下、皮下、靜脈內、鼻內、局部、經皮、腹膜內、肌肉內、肺內、經陰道、經直腸或眼內。在一些實施例中,使用經口或非經腸投與。投與之一個實例為靜脈內投與,在該情況下,採用適合於靜脈內投與之醫藥調配物。投與之另一實例為肌肉內投與,在該情況下,採用適合於肌肉內投與之醫藥調配物。投與之另一實例為皮下投與,在該情況下,採用適合於皮下投與之醫藥調配物。 醫藥組合物或調配物包括固體、半固體、液體及氣溶膠劑型,諸如錠劑、膠囊、散劑、液體、懸浮液、栓劑、氣溶膠或適用於上述投與中之任一者之類似劑型。抗體-藥物結合物亦可以持續或控制釋放劑型投與,該等劑型包括儲槽式注射劑、滲透泵、丸劑、經皮(包括電遷移)貼片及其類似劑型,用於以預定速率長期及/或定時脈衝投與。在某些實施例中,組合物係以適用於單次投與精確劑量之單位劑型提供。 本文中所述之抗體-藥物結合物可單獨或更典型地與習知醫藥載劑、賦形劑或其類似物(例如甘露糖醇、乳糖、澱粉、硬脂酸鎂、糖精鈉、滑石、纖維素、交聯羧甲基纖維素鈉、葡萄糖、明膠、蔗糖、碳酸鎂及其類似物)組合投與。必要時,醫藥組合物亦可含有少量無毒性輔助物質,諸如濕潤劑、乳化劑、增溶劑、pH值緩衝劑及其類似物(例如乙酸鈉、檸檬酸鈉、環糊精衍生物、脫水山梨糖醇單月桂酸酯、三乙醇胺乙酸酯、三乙醇胺油酸脂及其類似物)。一般而言,視預期投與模式而定,醫藥組合物將含有約0.005重量%至95重量%;在某些實施例中約0.5重量%至50重量% ADC?。製備該等劑型之實際方法為已知的,或將為熟習此項技術者顯而易見;例如參見Remington's Pharmaceutical Sciences , Mack Publishing Company, Easton, Pennsylvania。 在某些實施例中,組合物將呈藥丸或錠劑形式,且因此與活性成分一起,組合物將含有稀釋劑,諸如乳糖、蔗糖、磷酸二鈣或其類似物;潤滑劑,諸如硬脂酸鎂或其類似物;及黏合劑,諸如澱粉、阿拉伯膠、聚乙烯吡咯啶酮、明膠、纖維素、纖維素衍生物或其類似物。在另一固體劑型中,粉末、丸粒(marume)、溶液或懸浮液(例如於碳酸伸丙酯、植物油或三酸甘油酯中)囊封於明膠膠囊中。 液體醫藥學上可投與之組合物可例如藉由將至少一種抗體-藥物結合物及視情況選用之醫藥佐劑溶解、分散於載劑(例如水、生理食鹽水、右旋糖水溶液、甘油、二醇、乙醇或其類似物)中等以形成溶液或懸浮液來製備。可注射劑可以習知形式,呈液體溶液或懸浮液形式、呈乳液形式或呈適用於在注射之前溶解或懸浮於液體中之固體形式製備。此類非經腸組合物中所含抗體-藥物結合物之百分比高度視其特定性質以及化學實體之活性及個體之需要而定。然而,溶液中0.01%至10%之活性成分百分比為可用的,且若組合物為隨後稀釋至以上百分比之固體,則將更高。在某些實施例中,組合物將在溶液中包含約0.2%至2%活性劑。 本文中所述之抗體-藥物結合物之醫藥組合物亦可呈用於噴霧器之氣溶膠或溶液形式或呈用於吹入之微細粉末形式,單獨或與惰性載劑(諸如乳糖)組合投與呼吸道。在此類情況下,醫藥組合物之粒子之直徑小於50微米,在某些實施例中小於10微米。 一般而言,所提供之抗體-藥物結合物係藉由提供類似效用之藥劑之可接受投與模式中的任一者以治療有效量投與。抗體-藥物結合物之實際量視眾多因素而定,該等因素諸如為待治療之疾病之嚴重強度、個體之年齡及相對健康、所用抗體-藥物結合物之效能、投與途徑及形式以及其他因素。抗體-藥物結合物可一天投與超過一次,諸如一天一次或兩次。 本文所述之抗體-藥物結合物之治療有效量可在每天每公斤接收者體重約0.01至200毫克範圍內;諸如約0.01-100毫克/公斤/天,例如約0.01至50毫克/公斤/天。因此,對於向70 kg人投與而言,劑量範圍可為每天約1-1000 mg。 一般而言,抗體-藥物結合物係以醫藥組合物形式,藉由以下途徑中之任一者投與:經口、全身性(例如經皮、鼻內或栓劑)或非經腸(例如肌肉內、靜脈內或皮下)投與。在某些實施例中,可使用經口投與,其中可根據病痛之程度調節合宜日劑量方案。組合物可採取錠劑、丸劑、膠囊、半固體、散劑、持續釋放調配物、溶液、懸浮液、酏劑、氣溶膠或任何其他適當組合物之形式。另一種投與所提供化學實體(chemical entities)之方式是吸入。 調配物之選擇視各種因素而定,諸如藥物投與模式及抗體-藥物結合物之生物可用性。對於經由吸入之傳遞而言,化學實體可調配為液體溶液、懸浮液、氣溶膠推進劑或乾粉且裝載至用於投與之合適分配器中。存在若干類型之醫藥吸入裝置-噴霧器吸入器、定劑量吸入器(MDI)及乾粉吸入器(DPI)。噴霧器裝置會產生高速空氣流,使得治療劑(調配成液體形式)噴霧為霧狀物,攜載進入患者之呼吸道。MDI通常為封裝有壓縮氣體之調配物。一經致動,該裝置即藉由壓縮氣體釋放量測量之治療劑,因此可提供投與設定量之藥劑之可靠方法。DPI將治療劑以自由流動粉末形式分配,粉末可在呼吸期間藉由該裝置分散於患者之吸氣空氣流。為獲得自由流動粉末,治療劑用諸如乳糖之賦形劑調配。量測量之治療劑以膠囊形式儲存且在每次致動下分配。 近來,已基於生物可用性可藉由增加表面積(亦即減小粒度)而得到提高的原理,針對展示不良生物可用性之藥物開發醫藥組合物。舉例而言,美國專利第4,107,288號描述粒度範圍為10至1,000 nm之醫藥調配物,其中活性物質支撐於巨分子之交聯基質上。美國專利第5,145,684號描述一種醫藥調配物之產生,其中在表面改質劑存在下將原料藥粉碎為奈米粒子(平均粒度為400 nm),且隨後將其分散於液體介質中,從而得到展現顯著較高之生物可用性之醫藥調配物。 組合物一般由至少一種本文所述之抗體-藥物結合物與至少一種醫藥學上可接受之賦形劑組合組成。可接受之賦形劑無毒,有助於投與,且不會不利地影響至少一種本文中所述之化學實體之治療效益。此類賦形劑可為熟習此項技術者通常可獲得之任何固體、液體、半固體或(在氣溶膠組合物之情況下)氣態賦形劑。 固體醫藥賦形劑包括澱粉、纖維素、滑石、葡萄糖、乳糖、蔗糖、明膠、麥芽、稻米、麵粉、白堊、矽膠、硬脂酸鎂、硬脂酸鈉、單硬脂酸甘油酯、氯化鈉、脫脂乳粉及其類似物。液體及半固體賦形劑可選自甘油、丙二醇、水、乙醇及包括源自石油、動物、植物或合成來源之油的各種油,例如花生油、大豆油、礦物油、芝麻油等。用於可注射溶液之液體載劑包括水、生理食鹽水、右旋糖水溶液及二醇。 壓縮氣體可用於分散呈氣溶膠形式之本文所述之抗體-藥物結合物。適合於達成此目的之惰性氣體為氮氣、二氧化碳等。其他合適醫藥賦形劑及其調配物描述於Remington's Pharmaceutical Sciences, E.W. Martin編(Mack Publishing Company, 第18版, 1990)。 組合物中抗體-藥物結合物之量可在熟習此項技術者所用之全範圍內變化。通常,以重量百分比(wt%)計,組合物將含有按全部組合物計約0.01-99.99 wt%本文所述之抗體-藥物結合物實體,其餘為一或多種合適醫藥賦形劑。在某些實施例中,本文所述之抗體-藥物結合物以約1-80 wt%之含量存在。 已藉由輸注至HIV感染個體或相關模型內探索作為ARV之各種廣譜中和抗體(bnAb),成效有限。術語「ARV」係指「抗逆轉錄病毒」,其為用於治療逆轉錄病毒(即HIV)感染以抑制此類病毒繁殖之藥物。在治療期間產生對bnAb之抗性,與用小分子ARV觀察到的情況類似。為此,認為根據本發明的由bnAb及靶向gp160之小分子附著抑制劑組成之雙功能分子能夠提高所抑制gp160多樣性之廣度且藉由在與由多種小分子提供之HAART相似之一個分子內提供多種抗病毒標靶改善耐久性。術語「HAART」係指「高活性抗逆轉錄病毒療法」,其為用於治療HIV之超過一種(例如,2種、3種或4種)藥物之組合。實例 1 gp160 附著抑制劑之合成 採用以下途徑來製備用於本發明之抗體-藥物結合物(方案1)之藥物: 實例 2 實驗步驟 結合劑A 至VRC01與gp160抑制劑及連接子係根據方案1-方案4製得。在此實例中,離胺酸結合用VRC01進行;因此,丁二醯亞胺基酯併入結合劑中。作為在所有此等修改之後試圖驗證生物活性之替代物,亦製得化合物B 。 方案2方案3方案4方案5亦可考慮其他結合,諸如半胱胺酸結合及其他位點特異結合方法。關於此等各種結合,合適結合劑可相應地用本文所闡述之類似化學方案製得。實例 3 gp160 附著抑制劑之合成 gp160附著抑制劑係根據以下合成途徑製得: N1-(4-((4- -3- 氟苯基 ) 胺甲醯基 )-2-( 哌啶 -1- 基甲基 ) 苯甲基 )-N2-(3-( 二甲胺基 ) 丙基 ) 乙二醯胺 步驟14- 硝基 -3-( 哌啶 -1- 基甲基 ) 苯甲酸甲酯 將3-甲醯基-4-硝基苯甲酸甲酯(15 g,71.7 mmol)及哌啶(14.17 mL,143 mmol)於1,2-二氯乙烷(DCE)(150 mL)中之溶液用乙酸(8.21 mL,143 mmol)處理。在30分鐘之後,將反應混合物用三乙醯氧基硼氫化鈉(24.32 g,115 mmol)處理且攪拌隔夜。反應用飽和NaHCO3 淬滅,用DCM萃取,用飽和NaHCO3 、鹽水洗滌,經Na2 SO4 乾燥、過濾且濃縮。殘餘物藉由矽膠層析法純化(EtOAc/己烷梯度),得到4-硝基-3-(1-哌啶基甲基)苯甲酸甲酯(16.14 g,58.0 mmol,81%產率)。LC/MS (m/z ) ES+ = 279.3 (M+1)+ 步驟2N-(4- -3- 氟苯基 )-4- 硝基 -3-( 哌啶 -1- 基甲基 ) 苯甲醯胺 將4-硝基-3-(1-哌啶基甲基)苯甲酸甲酯(16.05 g,57.7 mmol)於四氫呋喃(THF)(100 mL)及甲醇(100 mL)中之溶液用LiOH (250 mL,250 mmol)處理且在環境溫度下攪拌4小時。濃縮混合物,得到粗產物4-硝基-3-(1-哌啶基甲基)苯甲酸(20.51 g)。使酸中間物懸浮於SOCl2 (50 mL,685 mmol)中,回流1.5小時,且經濃縮,得到4-硝基-3-(1-哌啶基甲基)苯甲醯氯(LCMS,meoh,ES+279,甲酯)。使醯基氯化物懸浮於二氯甲烷(DCM)(100 mL)中,用4-氯-3-氟苯胺(7.97 g,54.8 mmol)、Et3 N (12.06 mL,87 mmol)處理且在環境溫度下攪拌隔夜。另外加入Et3 N (4 mL)、DCM (11 mL)及苯胺(418 mg),且將反應攪拌隔夜。懸浮液用飽和NaHCO3 淬滅,用DCM萃取2次,用飽和NaHCO3 洗滌1次,用鹽水洗滌,經Na2 SO4 乾燥、過濾且濃縮。藉由矽膠管柱層析(0-50% EtOAc/己烷)來純化,得到呈黃色固體狀之N-(4-氯-3-氟苯基)-4-硝基-3-(1-哌啶基甲基)苯甲醯胺(13.86 g,35.4 mmol,61.3%產率)。LC/MS (m/z ) ES+ = 279.3 (M+1)+ 步驟34- 胺基 -N-(4- -3- 氟苯基 )-3-( 哌啶 -1- 基甲基 ) 苯甲醯胺 將N-(4-氯-3-氟苯基)-4-硝基-3-(1-哌啶基甲基)苯甲醯胺(13 g,33.2 mmol)於甲醇(130 mL)中之溶液緩慢添加至水合肼(16.14 mL,332 mmol)及阮尼(Raney)2800鎳(4.2 g,33.2 mmol)於甲醇(130 mL)中之回流混合物。使反應回流1小時,冷卻至環境溫度,經由矽藻土過濾,用MeOH及DCM洗滌且隨後濃縮,得到呈淡黃色固體狀之粗產物4-胺基-N-(4-氯-3-氟苯基)-3-(1-哌啶基甲基)苯甲醯胺(11.56 g,31.9 mmol,96%產率)。LC/MS (m/z ) ES+ = 362.3 (M+1)+ 步驟44- -N-(4- -3- 氟苯基 )-3-( 哌啶 -1- 基甲基 ) 苯甲醯胺 將溴化銅(II)(0.648 g,2.90 mmol)於乙腈(20 mL)中之冰冷混合物用亞硝酸第三丁酯(0.730 mL,5.53 mmol)處理,之後4-胺基-N-(4-氯-3-氟苯基)-3-(1哌啶基甲基)苯甲醯胺(1.000 g,2.76 mmol)且所產生之深色混合物在環境溫度下攪拌隔夜。添加飽和NaHCO3 且用乙酸乙酯稀釋。經由矽藻土墊過濾混合物且用EA萃取水層。萃取物用鹽水洗滌,經Na2 SO4 乾燥,過濾且濃縮。殘餘物藉由矽膠層析法(0-10% MeOH/DCM梯度)純化,得到深色殘餘物(482 mg,32%)。1H NMR (400 MHz, 甲醇-d4) d ppm 1.50 (d, J=5.07 Hz, 2 H), 1.56 - 1.71 (m, 4 H), 2.53 (br. s., 4 H), 3.67 (s, 2 H), 7.37 - 7.48 (m, 2 H), 7.68 - 7.76 (m, 2 H), 7.78 - 7.87 (m, 1 H), 8.05 (d, J=1.95 Hz, 1 H);LC/MS (m/z) ES+ = 425 (M+1)。 步驟5N-(4- -3- 氟苯基 )-4- 氰基 -3-( 哌啶 -1- 基甲基 ) 苯甲醯胺 將4-溴-N-(4-氯-3-氟苯基)-3-(1-哌啶基-甲基)苯甲醯胺(2 g,4.70 mmol)及Zn(CN)2 (0.386 g,3.29 mmol)於N,N-二甲基甲醯胺(DMF) (23.49 ml)中之懸浮液用N2 脫氣5分鐘且隨後用Pd(PPh3 )4 (0.271 g ,0.235 mmol)處理。反應混合物於微波中在120℃下照射20分鐘。將反應混合物倒入水中且用EtOAc萃取。經合併之萃取物用鹽水洗滌,經乾燥(Na2 SO4 ),過濾且濃縮。殘餘物藉由矽膠層析法(0-50% EtOAc-己烷)純化,得到N-(4-氯-3-氟苯基)-4-氰基-3-(1-哌啶基甲基)苯甲醯胺(1.66 g,4.46 mmol,95%產率)。LC/MS (m/z) ES+ = 372.3 (M+1)。 步驟64-( 胺甲基 )-N-(4- -3- 氟苯基 )-3-( 哌啶 -1- 基甲基 ) 苯甲醯胺 將氨氣飽和之N-(4-氯-3-氟苯基)-4-氰基-3-(1-哌啶基甲基)苯甲醯胺(5.00 g,13.45 mmol)於乙醇(100 mL)中之混合物用阮尼2800鎳(12 mL,13.45 mmol)處理且隨後在50 psi氫氣下攪拌72 h。混合物在矽藻土上過濾,用乙酸乙酯、DCM及MeOH洗滌。濃縮濾液,得到呈淺綠色固體狀之標題化合物產物。1 H NMR (400 MHz, 甲醇-d4) d ppm 1.56 (br. s., 6 H), 2.48 (br. s., 4 H), 3.61 (s, 2 H), 3.90 (s, 2 H), 7.38 - 7.55 (m, 3 H), 7.76 - 7.90 (m, 3 H);LC/MS (m/z) ES+ = 376 (M+1)。 步驟72-((4-((4- -3- 氟苯基 ) 胺甲醯基 )-2-( 哌啶 -1- 基甲基 ) 苯甲基 ) 胺基 )-2- 側氧基乙酸甲酯 將4-(胺甲基)-N-(4-氯-3-氟苯基)-3-(1-哌啶基甲基)苯甲醯胺(1.000 g,2.66 mmol)及許尼希氏鹼(Hunig's base)(0.697 mL,3.99 mmol)於四氫呋喃(THF) (20 mL)中之冰冷混合物用甲基乙二醯氯(0.270 mL,2.93 mmol)緩慢處理。攪拌混合物5分鐘且藉由LCMS判斷完成。混合物用乙酸乙酯稀釋,先後用飽和NaHCO3 及鹽水洗滌,經Na2 SO4 乾燥、過濾且濃縮。殘餘物藉由矽膠層析法純化(0-10% MeOH/DCM),得到呈淡黃色固體狀之標題化合物。1H NMR (400 MHz, DMSO-d 6) d ppm 1.33 - 1.46 (m, 2 H), 1.46 - 1.57 (m, 4 H), 2.37 (br. s., 4 H), 3.57 (s, 2 H), 3.78 (s, 3 H), 4.56 (d,J =6.06 Hz, 2 H), 7.43 (d,J =8.01 Hz, 1 H), 7.51 - 7.62 (m, 2 H), 7.80 (d,J =1.56 Hz, 1 H), 7.85 (dd,J =8.01, 1.76 Hz, 1 H), 7.91 - 7.97 (m, 1 H), 9.51 (t,J =6.06 Hz, 1 H), 10.49 (s, 1 H);LC/MS (m/z ) ES+ = 462 (M+1)。 步驟82-((4-((4- -3- 氟苯基 ) 胺甲醯基 )-2-( 哌啶 -1- 基甲基 ) 苯甲基 ) 胺基 )-2- 側氧基乙酸 將2-((4-((4-氯-3-氟苯基)胺甲醯基)-2-(哌啶-1-基甲基)苯甲基)胺基)-2-側氧基乙酸甲酯(288 mg,0.623 mmol)於MeOH (5 mL)及THF (5 mL)中之溶液用1 M LiOH (1 mL)處理。在2小時之後,反應混合物在真空中濃縮,得到標題化合物(279 mg,106%)。LC/MS (m/z ) ES+ = 448.3 (M+1)。 步驟9N1-(4-((4- -3- 氟苯基 ) 胺甲醯基 )-2-( 哌啶 -1- 基甲基 ) 苯甲基 )-N2-(3-( 二甲胺基 ) 丙基 ) 乙二醯胺 將({[4-{[(4-氯-3-氟苯基)胺基]羰基}-2-(1-哌啶基甲基)苯基]甲基}胺基)(側氧基)乙酸(30.0 mg,0.066 mmol)、N,N-二甲基-1,3-丙二胺(0.017 mL,0.132 mmol)及許尼希氏鹼(0.035 mL,0.198 mmol)於N,N-二甲基甲醯胺(DMF) (1.0 mL)中之混合物用T3P (0.079 mL,0.132 mmol)處理且隨後在環境溫度下攪拌5分鐘。混合物藉由RP-HPLC (TFA改質)純化,得到輕度不純之所期望產物,該產物藉由RP-HPLC (NH4OH改質)進一步純化,得到呈白色固體狀之所期望產物。1H NMR (400 MHz, DMSO-d 6) d ppm 1.40 (br. s., 2 H), 1.49 - 1.64 (m, 6 H), 2.09 (s, 6 H),2.18 (t,J =7.02 Hz, 2 H), 2.37 (br. s., 4 H), 3.15 (q,J =6.57 Hz, 2 H), 3.57 (s, 2 H), 4.52 (d,J =6.24 Hz, 2 H), 7.42 (d,J =7.80 Hz, 1 H), 7.52 - 7.66 (m, 2 H), 7.79 (s, 1 H), 7.84 (dd,J =7.90, 1.46 Hz, 1 H), 7.89 - 8.00 (m, 1 H), 8.85 (t,J =5.95 Hz, 1 H), 9.23 - 9.36 (m, 1 H),10.48 (s, 1 H);LC/MS (m/z ) ES+ = 532 (M+1)。實例 4- 實例 8 抗體 - 藥物結合物之製備 如下文所闡述之抗體藥結合物係如下文所闡述製得: 實驗材料: VRC01於CHO細胞中表現。細胞培養上清液經收集且用蛋白A管柱及SEC管柱純化。廣譜中和抗體VRC01儲存於20 mM組胺酸緩衝液(含5%蔗糖,pH 6.0)中。純度藉由尺寸排阻層析(SEC-HPLC ,圖 1 )分析及十二烷基硫酸鈉聚丙烯醯胺凝膠電泳(SDS-PAGE ,圖 2 )來確定。 3 用於結合之四種不同有效負載-連接子(PL )經設計且製備如下: 1號化合物(有效負載A,化合物LA ) 2號化合物(有效負載A,化合物SA ) 3號化合物(有效負載B,化合物SB ) 4號化合物(有效負載B,化合物LB ) 其中:LA :長連接子有效負載ASA :短連接子有效負載ASB :短連接子有效負載BLB :長連接子有效負載B 分析方法 HPLC方法 SEC分析方法 4 游離藥物分析闡述於表5中,其中報道呈現於實例4中。 5 測定DAR之UV方法:UV/Vis及SEC (UV偵測器)基於比爾-朗伯定律(Beer-Lambert Law) A=E*c*l A280=E mAb 280 *[mAb]*l+E PL 280 *[PL]*l A315=E mAb 315 *[mAb]*l+E PL 315 *[PL]*l [mAb]:mAb濃度 PL:有效負載-連接子 [PL]:有效負載-連接子濃度 E:莫耳消光係數 c:濃度 l:光路(Nanodrop:0.1 cm)實例 4 化合物SB 於二甲基乙醯胺(DMA,10 mg/mL)中之溶液藉由將1.2 mg化合物SB (3號化合物)溶解於0.12 mL DMA中製得。化合物LB 於DMA (10 mg/mL)中之溶液藉由將2.1 mg化合物LB (4號化合物)溶解於0.21 mL DMA中製得。化合物LA 於乙腈(ACN,10 mg/mL)中之溶液藉由將1.7 mg化合物LA 溶解於0.17 mL ACN中製得。化合物SA 於ACN (10 mg/mL)中之溶液藉由將1.3 mg化合物SA (2號化合物)溶解於0.13 mL ACN中製得。 為測定有效負載-連接子之滯留時間,上文所製備之LASALB SB 之溶液用稀釋緩衝液(50 % 100 mM NH4 OAc + 50%乙腈)稀釋至1 mg/mL。LASALBSB 皆在HPLC內展示兩個峰(母O-Su及水解-COOH)。最終抗體-藥物結合物(ADC)樣品提交至HPLC (混合模式RP管柱)以測定游離有效負載-連接子含量。所有ADC產物在3.3 min (抗體相關)處有明顯峰,且光譜內未出現其他峰。結果顯示,ADC溶液內之其餘游離有效負載-連接子濃度低於偵測極限。 為測定游離有效負載-連接子偵測極限,製備不同濃度之LASALBSB 且將其提交至HPLC (混合模式RP管柱),且結果顯示所有4種有效負載-連接子之偵測極限均低於0.0024 μg/mL。 藥物抗體比率(本文中稱作「DAR」) MS實例 5 樣品製備 將100 μg蛋白質樣品添加至1.5 mL管中,因此用2 μL 1 mol/L Tris-HCl緩衝液、2.5 μL PNGase F溶液及Milli-Q水組成100 μL。此經充分混合且在37℃下培育4小時。 使用超濾管將400 μL 50 mM磷酸鈉緩衝液添加至樣品,隨後以13000 rpm離心15分鐘。隨後將樣品轉移至1.5 mL管,添加50 mM磷酸鈉,達至100 μL最終體積。添加1 μL唾液酸酶A及2μL O-聚糖酶,且在37℃下培育2小時。 6 HPLC條件 7 MS條件 實例 6 VRC01-LA VRC01-SA 之製備 反應設置(LA SA ):VRC01-LA及VRC01-SA,分別在圖3A及圖3B中提及,製備VRC01-LA及VRC01-SA。CH3 CN添加至PBS緩衝液(pH 7.5)中之VRC01溶液內且混合反應,接著添加CH3 CN中之LA或SA溶液。在添加有效負載-連接子後CH3 CN在結合溶液內之總含量為20%。反應混合物隨後置放於22℃培育箱內電震器(150轉/分鐘)中,歷時兩小時。在兩小時之後,取出反應混合物且藉由使用旋轉去鹽管柱及amicon超過濾(30 kDa),緩衝液更換成儲存緩衝液且移除游離有效負載-連接子。獲得約20-25 mg最終產物且反應轉化率為約60%及90%。 8 * 產生 30 mg VRC01-LA * 產生 30 mgVRC01-SA 實例 7 VRC01-LB VRC01-SB 之製備 反應設置 (LB SB ) :VRC01-LB及VRC01-SB,分別在圖4A和4B中提及,DMA添加至PBS緩衝液(pH 7.5)內之VRC01溶液中,且適當混合反應,接著添加DMA內之LB或SB溶液。在添加有效負載-連接子後DMA在結合溶液內之總含量為10%。反應混合物隨後置放於22℃培育箱內電震器(150轉/分鐘)中,歷時兩小時。在兩小時之後,取出反應混合物且藉由使用旋轉去鹽管柱,緩衝液更換成儲存緩衝液且移除游離藥物。獲得約20-25 mg最終產物且反應轉化率為約70%及80%。 9 *產生25-30 mg VRC01-LB及SB;PL:有效負載-連接子 移除游離有效負載-連接子 透析卡(容量為0.5-3 mL,MWCO:10,000)內之共計4種ADC產物(1.9 ml VRC01-SB、2.1 mL VRC01-LB、1.65 mL VRC01-LA及1.15 mL VRC01-SA)分別用500 mL緩衝液(20 mM組胺酸,pH 6.0)滲析6次以移除游離有效負載-連接子。滲析後,所產生之ADC產物之濃度、游離藥物含量及內毒素藉由UV/Vis、HPLC (混合模式RP管柱)及微盤讀數器測定。隨後5%蔗糖分別添加至ADC溶液。ADC產物之DAR及聚集體含量藉由SEC-HPLC測定。 10 所有ADC之特徵(未偵測到游離有效負載-連接子:<0.0024 μg/mL) 實例 8 VRC01-LA-SB及VRC01-LA-LB之製備反應設置 :圖5A及圖5B中提及由如下合成產生之最終結構產物。CH3 CN添加至PBS緩衝液(pH 7.5)內之VRC01溶液中且混合反應,接著添加CH3 CN內之LA溶液。CH3 CN在結合溶液內之總含量為20%且反應內之最終mAb濃度為10 mg/mL。在添加有效負載-連接子之後,反應混合物隨後置放在培育箱內之旋轉平台(10轉/分鐘)上22℃兩小時。隨後取出反應混合物且藉由使用amicon超濾(50 kDa)移除游離有效負載-連接子(LA)。約2 mg ADC經受完整MS及SEC以量測DAR及測定聚集體。 其餘18 mg反應混合物分入兩個小瓶(各9.0 mg)且分別進行與SB及LB之隨後結合。DMA及DMA內之SB、LB溶液添加至上文所製備之ADC PBS緩衝液。結合反應中DMA含量為20%且ADC濃度為10 mg/mL。結合溶液置放於22℃培育箱內部之旋轉平台(10轉/分鐘)上2 h。反應混合物隨後藉由使用amicon超濾(50 kDa)經緩衝液更換成儲存緩衝液且移除游離有效負載-連接子。最後,反應混合物經滲析以進一步移除游離有效負載-連接子至不可偵測之水準且更換緩衝液(3天,6次緩衝液更換)。獲得約4.5 mg (各)最終產物且反應轉化率為約50%。此等 ADC 產物內之游離藥物含量之測定 為測定mAb及游離有效負載-連接子之滯留時間,用稀釋緩衝液(50% 100 Mm NH4 Ac + 50%乙腈)將LA、LB及SB之溶液(藥物之所有濃度皆為10 mg/mL)稀釋至0.2 mg/mL。有效負載-連接子溶液隨後與mAb混合且樣品內之最終藥物濃度及mAb濃度分別為0.1 mg/mL及1 mg/mL。LA、LB及SB在HPLC (Supelco HISEP,4.6×250 mm,5 µm,CJ-00005105)內顯示兩個峰。當樣品內之mAb濃度為1 mg/mL時,在3.3 min處未顯示峰。在mAb濃度升高至3 mg/mL時,在3.3 min處觀察到對應峰,此表明mAb滯留時間為3.3 min。 ADC樣品經受HPLC以測定游離有效負載-連接子含量。ADC產物在3.3 min處有峰,且未觀察到其他峰,此表明ADC溶液內之游離有效負載-連接子濃度低於偵測極限。為測定偵測極限,製備不同濃度之LA、LB及SB且使其經受HPLC,且結果顯示LA、LB及SB之偵測極限均低於0.006 µg/mL。 11 VRC01-LA-SB之特徵 * 樣品經受去N-糖基化及去O-糖基化且隨後藉由MS量測以獲得MS DAR。 *儲存緩衝液:20 mM組胺酸,5%蔗糖,pH 6.0 12 VRC01-LA-LB之特徵 * 樣品經受去N-糖基化及去O-糖基化且藉由MS量測以獲得MS DAR。 *儲存緩衝液:20 mM組胺酸,5%蔗糖,pH 6.0生物資料程序 假型病毒分析(PSV)用於分析各種HIV進入抑制劑之效能。複製缺陷性病毒藉由含有NL4-3原病毒[含有包膜開放閱讀框架(ORF)內之突變及取代nef ORF之螢光素酶報導基因]之質體與含有各種HIV gp160包膜純系之ORF之CMV-啟動子表現質體的共轉染來產生。所收集之病毒以小等分試樣儲存在-80℃下且量測病毒之效價以產生用於抗病毒分析之穩固信號。 PSV分析藉由使用U373細胞作為感染標靶細胞進行,該等細胞經穩定轉型以表現作為HIV進入之初級受體的人類CD4,以及作為HIV進入所需之共受體的人類CXCR4或人類CCR5。所關注之分子(包括(但不限於) HIV之小分子抑制劑、HIV之中和抗體、HIV之抗體-藥物結合物抑制劑、HIV之肽抑制劑及各種對照)在組織培養基中稀釋且經由連續稀釋進行稀釋以產生劑量範圍之濃度。此劑量範圍施加至U373細胞且添加預製假型病毒。在培養3天後所產生之螢光素酶信號之量用於反映假型病毒感染水準。計算IC50或自不含抑制劑之感染降低PSV感染50%所需之抑制劑的濃度。同時進行量測細胞毒性之分析以確保所觀察到之抑制劑之抗病毒活性可與降低之標靶細胞成活力區分。 表13提供如下表14-表16中所產生之結果及詳述各者結構之圖式中所提及的材料(亦即藥物、連接子、抗體、抗體-藥物結合物(「ADC」))。 13 表14提供藥物及藥物-連接子材料之效能值。 14 其中EFV係依法韋侖。 表15提供藥物、藥物-連接子材料及ADC (單有效負載)之各種值。 15 表16提供藥物、藥物-連接子材料及ADC (雙有效負載)之各種值。 16 本發明係有利的且有助於此項技術。藉由ADC技術繫栓咸信具有互補病毒覆蓋型態的bNAb與靶向包膜之小分子,可實現更廣泛之病毒覆蓋。可有利地利用bNAb (較佳具有半衰期延長突變) 之藥代動力學特性。不受理論束縛,咸信利用單一bNAb之HIV治療影響抗性之出現。ADC能夠擁有多種抗病毒作用方式(MoA),該等作用方式皆靶向病毒包膜,其可阻礙逃避變異體之選擇且改善抗性型態。除病毒以外之任何其他細胞/組織對繫栓至bNAb之小分子ARV具有最低程度的非所期望吸收,且此能夠改善其安全型態、耐受性及減少有效劑量。 總而言之,本發明係高度有利的,因為抗體-藥物結合物充當雙特異性分子。更具體言之,經由連接子連接之抗體及藥物採用兩種相異且獨立之作用機制靶向HIV包膜。因此,本發明相對於其他抗體-藥物結合物而言係獨特的,且在治療、預防或治癒HIV方面係有用的。序列表 SEQ ID NO:1 SEQ ID NO:2 SEQ ID NO:3 SEQ ID NO:4 SEQ ID NO:5 SEQ ID NO:6 SEQ ID NO:7 SEQ ID NO:8 SEQ ID NO:9 SEQ ID NO:10 SEQ ID NO:11 SEQ ID NO:12 SEQ ID NO:13 SEQ ID NO:14 SEQ ID NO:15 SEQ ID NO:16 SEQ ID NO:17 SEQ ID NO:18 SEQ ID NO:19 SEQ ID NO:20 SEQ ID NO:21 SEQ ID NO:22 SEQ ID NO:23 SEQ ID NO:24 SEQ ID NO:25 SEQ ID NO:26 SEQ ID NO:27 This application claims the priority of the US provisional patent application serial number 62 / 357,410 filed on July 1, 2016. The content of this application is incorporated herein by reference. In this application, several examples concerning compounds, compositions and methods are mentioned. The multiple embodiments are intended to provide various illustrative examples and should not be interpreted as a description of alternative species. On the contrary, it should be noted that the description of multiple embodiments provided herein may overlap in scope. The embodiments discussed herein are merely illustrative and are not meant to limit the scope of the invention. It should be understood that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to limit the scope of the invention. In this specification and subsequent patent applications, a number of terms will be mentioned, and these terms should be defined to have the following meanings. All granted patents, published patent applications and other publications cited in this article are deemed to be incorporated by reference in their entirety. In one aspect, the invention provides an antibody-drug conjugate of formula (I):Ab-LD (I) Where: Ab contains a broad-spectrum neutralizing antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing antibody; and D contains one or more drugs covalently bonded to the linker molecule, wherein the one or Many drugs specifically bind to the HIV envelope glycoprotein. In another aspect, the present invention provides an antibody-drug conjugate of formula (II):Ab- [L-Dn ]x (II) Where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing anti-HIV antibody; D contains one or more drugs that contain HIV adhesion inhibitor compounds , Covalently bonded to the linker molecule, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies specifically bind to the HIV envelope glycoprotein; n is selected from 1 to 4; and x is selected from 1 to 12. In yet another aspect, the present invention provides an antibody-drug conjugate of formula (II):Ab- [LD n ] x (II) Where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing anti-HIV antibody; D contains one or more drugs that contain HIV adhesion inhibitor compounds , Covalently bonded to the linker molecule, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies specifically bind to the HIV envelope glycoprotein; n is selected from 1 to 2; and x is selected from 2 to 4. In yet another aspect, the present invention provides an antibody-drug conjugate of formula (II):Ab- [L-Dn ]x (II) Where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing anti-HIV antibody; D contains one or more drugs that contain HIV adhesion inhibitor compounds , Covalently bonded to the linker molecule, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies specifically bind to the HIV envelope glycoprotein; n is 1; and x is 2. In another aspect, the present invention provides an antibody-drug conjugate of formula (I):Ab-LD (I) Where: Ab contains a broad-spectrum neutralizing antibody with binding affinity to HIV envelope glycoprotein; L contains one or more linker molecules covalently bound to the broad-spectrum neutralizing antibody; and D contains covalently bound to the One or more drugs of one or more linker molecules, the one or more drugs can bind to the HIV envelope glycoprotein. In another aspect, the present invention provides an antibody-drug conjugate of formula (I):(I) Ab- [LD n ] x Where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing anti-HIV antibody; D contains one or more drugs that contain HIV therapeutic compounds, total Valence bonded to the linker molecule L, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies Ab specifically binds to the HIV envelope glycoprotein and the one or more drugs D specifically bind to the HIV envelope glycoprotein; n Is selected from 1 to 4; and x is selected from 1 to 12. Preferably, n is selected from 1 to 2; and x is selected from 2 to 4. More preferably, n is 1; and x is 1 or 2. In another aspect, the present invention provides an antibody-drug conjugate of formula (I): (I)Ab- [LD n ] x Where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a linker molecule covalently bonded to the broad-spectrum neutralizing anti-HIV antibody; D contains one or more drugs that contain HIV therapeutic compounds, total Valence bonded to the linker molecule L, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies Ab specifically binds to the HIV envelope glycoprotein and the one or more drugs D specifically bind to the HIV envelope glycoprotein; n Selected from 1 to 4; x is selected from 1 to 12, wherein the antibody-drug conjugate comprises (1) the first drug D is covalently bonded to the first linker molecule L, and the first linker molecule L is covalently bonded Bound to the broad-spectrum neutralizing antibody; and (2) the second drug D is covalently bound to the second linker molecule L, and the second linker molecule L is covalently bound to the broad-spectrum neutralizing antibody. In one embodiment, the first drug D is the same as the second drug D. In one embodiment, the first drug D is different from the second drug D. In one embodiment, the first linker and the second linker may be the same or different. In one embodiment, the first drug and the first linker are attached to the broad-spectrum neutralizing antibody at a different location than the second drug and the second linker. "Antibody" is defined as a polypeptide or fragment thereof that includes at least the light chain or heavy chain immunoglobulin variable region of an epitope that specifically recognizes and binds an antigen. Antibodies are composed of heavy and light chains, and each of these chains has a variable region, called a variable heavy chain (VH ) Region and variable light chain (VL )Area. VH District and VL Together, the region is responsible for binding the antigen recognized by the antibody. The term antibody includes intact immunoglobulins, as well as variants and parts thereof, such as single variable domains (eg, VH, VHH, VL, domain antibodies (DAB)); Fab fragments; F (ab) '2 Fragment; single-chain Fv protein ("scFv"); disulfide-stabilized Fv protein ("dsFv"); bifunctional antibody; TANDABS, etc. and modified versions of any of the foregoing The scFv protein is a fusion protein in which the light chain variable region of the immunoglobulin and the heavy chain variable region of the immunoglobulin are bound by a linker, and within the dsFv, the chain has been mutated to introduce disulfide bonds to stabilize the association of the chain Together. The term also includes genetically engineered forms, such as chimeric antibodies (eg, humanized murine antibodies), hetero-binding antibodies (such as bispecific antibodies). See also,Pierce Catalog and Handbook , 1994-1995 (Pierce Chemical Co., Rockford, IL); Kuby, J.,Immunology , 3rd edition, W.H. Freeman & Co., New York, 1997. The term "single variable domain" refers to a folded polypeptide domain that contains sequences that characterize the variable domain of an antibody. It therefore includes intact antibody variable domains, such as VH, VHH, and VL; and modified antibody variable domains, such as where one or more loops have been replaced by sequences that do not characterize the antibody variable domain, or have been truncated or included N-terminal or C-terminal extended antibody variable domains, and folded fragments of variable domains that retain at least the binding activity and specificity of the full-length domain. A single variable domain can bind an antigen or epitope independently of different variable regions or domains. "Domain antibody" or "DAB" can be regarded as the same as "single variable domain". The single variable domain may be a human single variable domain, but also includes single variable domains from other species, such as rodent nurse sharks and camelids VHH DABS. Camelidae VHH is an immunoglobulin single variable domain polypeptide derived from species including camel, llama, alpaca, dromedary, and maroon llama, which produces heavy chain antibodies that are naturally free of light chains. Such VHH domains can be humanized according to standard techniques available in this technology, and such structural domains are considered "single variable domains." As used herein, VH includes the Camelidae VHH domain. Generally, naturally occurring immunoglobulins have heavy (H) chains and light (L) chains interconnected by disulfide bonds. There are two types of light chains: Lamuda (λ) and Gaba (κ). Five main heavy chain categories (or isotypes) determine the functional activity of antibody molecules: IgM, IgD, IgG, IgA and IgE. Each heavy and light chain contains constant and variable regions (these regions are also called "domains"). In combination, the heavy and light chain variable regions specifically bind antigen. The light chain and heavy chain variable regions contain a "framework" region interspersed with three hypervariable regions, also known as "complementarity determining regions" or "CDRs." The framework and CDR have been defined (see Kabat et al.,Sequences of Proteins of Immunological Interest , U.S. Department of Health and Human Services, 1991). The Kabat database is now maintained online. The sequences of the framework regions of different light or heavy chains are relatively preserved within the species. The framework region of an antibody-that is, the combined framework region constituting the light chain and the heavy chain is used to position and arrange the CDRs in three-dimensional space. The CDR is mainly responsible for binding to the epitope of the antigen. The CDRs of each chain are commonly referred to as CDR1, CDR2, and CDR3 (continuous numbering from the N-terminus), and are usually identified by the chain in which the specific CDR is located. Therefore, VH CDR3 (also known as CDRH3) is located in the VH CDR3 CDR3 in the variable domain of the antibody heavy chain, and VL CDR1 (also known as CDRL1) comes from the discovery of the VL CDR1 is the CDR1 of the variable domain of the antibody light chain. Antibodies that bind the target protein will have a specific VH District and VL Region sequences, and therefore have specific CDR sequences. Antibodies with different specificities (such as different combination sites of different antigens) have different CDRs. Although the CDR differs from antibody to antibody, only a limited number of amino acid positions within the CDR directly participate in antigen binding. These positions within the CDR are called specificity determining residues (SDR). In the present specification, the amino acid residues in the variable domain sequence and the full-length antibody sequence are numbered according to Kabat numbering convention. Similarly, unless otherwise indicated, the terms "CDR", "CDRL1", "CDRL2", "CDRL3", "CDRH1", "CDRH2", "CDRH3" follow the Kabat numbering convention. Those skilled in the art will understand that there are alternative numbering conventions for amino acid residues within variable domain sequences and full-length antibody sequences. Alternative numbering conventions for CDR sequences also exist, such as those stated in Chothia et al. (1989) Nature 342: 877-883. The structure of the antibody and protein folding may mean that other residues are considered part of the CDR sequence and the skilled person will understand so. Other numbering conventions for CDR sequences available to technicians include the "AbM" (University of Bath) and "Contact" (University College London) methods. It can be determined that the smallest overlap area using at least two of Kabat, Chothia, AbM, and contact methods is provided to provide a "minimal bonding unit." The smallest binding unit may be a sub-portion of the CDR. Table 1 below shows one definition of using each numbering convention for each CDR or binding unit. The Kabat numbering scheme is used in Table 1 to number the variable domain amino acid sequences. It should be noted that certain CDR definitions may vary depending on the individual disclosures used.table 1 "VH "" Or "VH" refers to the variable region of the immunoglobulin heavy chain, including the variable region of Fv, scFv, dsFv or Fab. "VL "" Or "VL" refers to the variable region of the immunoglobulin light chain, including the variable region of Fv, scFv, dsFv or Fab. If the following behavior can distinguish an antigen from one or more reference antigens, the antibody or other active agent "(eg specific) binds" to the antigen, "is specific" to the antigen or (eg specific) "recognizes" the antigen, This is because the binding specificity is not an absolute characteristic, but a relative characteristic. In its most common form (and when not referring to a defined reference), "binding" refers to the ability of an antibody or active agent to distinguish an antigen of interest from an unrelated antigen, as determined, for example, according to one of the following methods . Such methods include (but are not limited to) Western blot, ELISA test, RIA test, ECL test, IRMA test and peptide scanning. Scoring can be performed by standard color development (for example, secondary antibody containing horseradish peroxide and tetramethylbenzidine containing hydrogen peroxide). The response in some wells is scored by optical density (for example at 450 nm). The typical background (= negative reaction) can be 0.1 OD; the typical positive reaction can be 1 OD. This means that the positive / negative difference can exceed 10 times. Generally, instead of using a single reference antigen, a set of about three to five unrelated antigens (such as milk powder, BSA, transferrin, or the like) are used to determine the binding specificity. In addition, "binding" and more specifically "specific binding" may refer to the ability of an antibody to distinguish a target antigen from one or more closely related antigens (used as a reference point). In addition, "binding" can refer to the ability of an antibody to distinguish between different parts (eg different domains or regions) of its target antigen or one or more key amino acid residues or fragments of amino acid residues. "Affinity" or "binding affinity" refers to the total strength of non-covalent interactions between a single binding site (eg, antibody or molecule) of an active agent and its binding partner (eg, antigen). Unless otherwise indicated, as used herein, "binding affinity" refers to an inherent binding affinity that reflects a 1: 1 interaction between members of a binding pair (eg, antibody and antigen). Affinity can be measured by common methods known in the art, including equilibrium methods (such as enzyme-linked immunosorbent assay (ELISA) or radioimmunoassay (RIA)) or kinetics (such as BIACORE analysis). A specific method for measuring affinity is surface plasmon resonance (SPR). For example, with regard to the term "binding affinity", an antibody that preferentially binds to a specific target protein (such as gpl20 or gp160) under specified conditions and does not bind to a large amount of other proteins or polysaccharides present in a sample or subject is called specific Antibody that binds sexually to its target. In one embodiment, the affinity is calculated by a modification of the Scatchard method described by Frankel et al., Mol. Immunol., 16: 101-106, 1979. In another embodiment, the binding affinity is measured by the antigen / antibody dissociation rate. In yet another embodiment, the binding affinity is measured by competitive radioimmunoassay. In several examples, the high binding affinity may be around 1 × 10-6 M to about 1 × 10-12 M, and more preferably about 1 × 10-8 M to about 1 × 10-12 Within M range. (10 nM to 1 pM) (see for example WO 2012/106578). "Affinity" is, for example, the sum of the strengths at which two molecules bind to each other at multiple sites when considering the valence of interaction. The "percent identity" between the query nucleic acid sequence and the target nucleic acid sequence is the "identity" value expressed as a percentage, which is 100% query coverage of the target nucleic acid sequence and the query nucleic acid sequence after pairwise BLASTN The rate is calculated by the BLASTN algorithm. Such pair-wise BLASTN alignment between the query nucleic acid sequence and the target nucleic acid sequence is performed by using the default settings of the BLASTN algorithm available on the National Center for Biotechnology Institute website and turning off the filter in the low complexity region. Importantly, the query nucleic acid sequence can be described by the nucleic acid sequence determined within the scope of one or more of the patent applications herein. The "percent identity" between the query amino acid sequence and the target amino acid sequence is the "consistency" value expressed as a percentage, which is the target amino acid sequence has the same The 100% query coverage of the acid sequence is calculated by the BLASTP algorithm. Querying this kind of pairwise BLASTP alignment between the amino acid sequence and the target amino acid sequence is by using the default settings of the BLASTP algorithm available on the National Center for Biotechnology Institute website and turning off the filtering of the low complexity area To carry out. Importantly, the query amino acid sequence can be described by the amino acid sequence determined within the scope of one or more patent applications in this document. The query sequence may be 100% identical to the target sequence, or it may include up to a certain integer number of amino acid or nucleotide changes compared to the target sequence so that the% identity is less than 100%. For example, the query sequence is at least 50%, 60%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% consistent with the target sequence. Such changes include at least one amino acid deletion, substitution (including conservative and non-conservative substitutions), or insertions, and these changes may occur between the amine terminal or carboxy terminal positions of the query sequence or between their terminal positions Anywhere, interspersed individually among amino acids or nucleotides within the query sequence or within one or more contiguous groups within the query sequence. The% identity can be determined over the entire query sequence length, including CDR. Alternatively, the% identity may not include the CDR, for example, the CDR is 100% identical to the target sequence and the% change in identity is within the remaining part of the query sequence, so that the CDR sequence is fixed / complete. The VH or VL sequence may be a variant sequence with up to 10 amino acid substitutions, additions or deletions. For example, the variant sequence may have up to 9, 8, 7, 6, 5, 4, 3, 2 or 1 amino acid substitutions, additions or deletions. Sequence changes may not include CDRs, for example, CDRs are the same as VH or VL (or HC or LC) sequences and the changes are within the remainder of the VH or VL (or HC or LC) sequences, so that the CDR sequences are fixed / complete. In several embodiments, the constant region of the antibody includes one or more amino acid substitutions to optimize the in vivo half-life of the antibody. The serum half-life of IgG Ab can be regulated by nascent Fe receptor (FcRn). Therefore, in several embodiments, the antibody includes amino acid substitutions that increase binding to FcRn. Several such substitutions are known to those of ordinary skill, such as substitutions in the following regions of the IgG constant region: T250Q and M428L (see, for example, Hinton et al., J Immunol., 176: 346-356, 2006); M428L and N434S (" "LS" mutation, see for example Zalevsky et al., Nature Biotechnology, 28: 157-159, 2010); N434A (see eg Petkova et al., Int. Immunol., 18: 1759-1769, 2006); T307 A, E380A and N434A (See, eg, Petkova et al., Int. Immunol., 18: 1759-1769, 2006); and M252Y, S254T and T256E (see eg Dall 'Acqua et al., J. Biol. Chem., 281: 23514-23524, 2006 ). The disclosed antibodies may include Fc polypeptides that include any substitutions listed above, for example, Fc polypeptides may include M428L and N434. As discussed, the antibody according to the present invention may be adapted or modified to extend the serum half-life in vivo and thus make the functional activity of the antibody in the body last longer or longer. Appropriately, such modified molecules have reduced clearance and longer average residence time compared to unmodified molecules. The extended half-life can improve the pharmacokinetics and pharmacokinetic properties of the therapeutic molecule and is also essential for improving patient compliance. Other suitable half-life extension strategies include: PEGylation, polysialylation, hydroxyethyl starching, recombinant PEG mimetics, N-glycosylation, O-glycosylation, Fc fusion, engineered Fc, IgG binding, white Protein fusion, albumin binding, albumin coupling, and nanoparticles. Without intending to be bound by theory, it is reported that the long half-life of IgG antibodies depends on their binding to FcRn. Therefore, the constant region has been engineered to improve the binding affinity of IgG and FcRn at pH 6.0 while maintaining the pH-dependent substitution of the interaction (KUO, TT and AVESON, VG 2011. Neonatal Fc receptor and IgG-based therapeutics. MAbs, 3, 422-30). In adult mammals, FcRn (also known as nascent Fc receptors) can play a key role in maintaining serum antibody levels by acting as protective receptors that bind IgG isotype antibodies and rescue IgG isotype antibodies from degradation. IgG molecules are endocytosed by endothelial cells, and if they bind to FcRn, they are recycled into the circulation. In contrast, IgG molecules that are not bound to FcRn enter the cell and target the lysosomal pathway that degrades them. Xianxin's nascent FcRn receptor is involved in antibody clearance and transcytosis throughout the tissue (Kuo and Aveson, (2011)). Human IgG1 residues that can interact with human FcRn include Ile253, Ser254, Lys288, Thr307, Gln311, Asn434, and His435. The exchange at any of these positions described in this section can increase the serum half-life of the antibody of the invention and / or change its effect characteristics. Antibodies suitable for use in the methods of the invention as described herein can have amino acid modifications that can increase the affinity of the constant domain of FcRn or fragments thereof. Extending the half-life of therapeutic and diagnostic IgG polypeptides and other biologically active molecules can provide benefits including, for example, reducing the amount and / or frequency of administration of such molecules. In one embodiment, an antibody of the invention is therefore provided, which comprises all or part of an IgG constant domain modified with one or more amino acids (FcRn binding portion). Various methods are known to prolong half-life (Kuo and Aveson, (2011)), including amines produced by techniques including alanine scanning mutation induction, random mutation induction and screening to assess binding to FcRn and / or in vivo behavior Base acid modification. Computational strategies after mutation induction can also be used to select an amino acid mutation for mutation. Although substitutions in the constant region can improve the function of therapeutic IgG antibodies, substitutions in strictly conserved constant regions may have the potential risk of immunogenicity in humans, while substitutions in highly diverse variable region sequences The immunogenicity may be less. Reports related to variable regions include engineering CDR residues to improve binding affinity to antigens and engineering CDR and framework residues to improve stability and reduce the risk of immunogenicity. Improving affinity with antigens can be achieved by affinity maturation, using random phage or ribosome display. It is possible to obtain improved stability from rational design based on sequence and structure. Reducing the risk of immunogenicity (deimmunization) can be achieved by various humanization methods and removal of T cell epitopes. The risk of immunogenicity can be predicted using electronic hybridization techniques or determined by in vitro analysis. In addition, the variable area has been engineered to reduce pi. Compared to wild-type antibodies, despite comparable FcRn binding, these antibodies were observed to have a longer half-life. If the antigen-mediated clearance mechanism normally degrades the antibody when it binds to the antigen, engineer or select an antibody with pH-dependent antigen binding to modify the antibody and / or antigen half-life, for example, to shorten the IgG2 antibody half-life. Similarly, the antigen: antibody complex can affect the half-life of the antigen, extending the half-life by protecting the antigen from the typical degradation process or shortening the half-life by means of antibody-mediated degradation. Xian understands that in the production of antibodies, depending on the particular amino acid sequence of the cell line used and the antigen binding protein, post-translational modifications can be made. For example, this may include the cleavage of certain leader sequences, the addition of different sugar moieties in various glycosylation and phosphorylation modes, deamidation, oxidation, disulfide bond disruption, isomerization, C-terminal amine acid cleavage Shear and N-terminal glutamic acid cyclization. The invention encompasses the use of antigen binding proteins that have been subjected to or undergo one or more post-translational modifications. Accordingly, "antibodies" of the present invention include "antibodies" as previously defined that have undergone post-translational modification such as described herein. Deamidation system mainly converts asparagine (N) to isoaspartate (isoaspartate) and aspartate (aspartate) (D) at a ratio of about 3: 1 Enzyme reaction. Therefore, this deamidation reaction is related to the isomerization of aspartate (D) to isoaspartate. Both the deamidation of asparagine and the isomerization of aspartate involve the intermediate product succinimide. The glutamic acid residues can be deamidated in a similar manner to a much lower degree. Deamidation can occur in CDR, Fab (non-CDR regions) or Fc regions. Oxidation can occur during production and storage (ie, in the presence of oxidizing conditions) and leads to covalent modification of proteins, either directly induced by reactive oxygen species or indirectly induced by reaction with secondary byproducts of oxidative stress. Oxidation mainly occurs at methionine residues, but can occur at tryptophan and free cysteine residues. Oxidation can occur in CDR, Fab (non-CDR regions) or Fc regions. Disturbance of disulfide bonds can occur during production and basic storage conditions. In some cases, disulfide bonds can be broken or erroneously formed, resulting in unpaired cysteine residues (-SH). These free (unpaired) sulfhydryl groups (-SH) can promote reorganization. N-terminal glutamic acid (Q) and glutamate (glutamate) (E) in the heavy and / or light chain may form pyruvate (pGlu) via cyclization. Most pGlu formation occurs in production bioreactors, but it can be formed in a non-enzymatic manner, depending on the pH and temperature of processing and storage conditions. Cyclization of the N-terminal Q or E is usually observed in natural human antibodies. C-terminal lysine cleavage is an enzymatic reaction catalyzed by carboxypeptidase, and it is usually observed in recombinant and natural human antibodies. Variants of this process include the removal of lysine from one or two heavy chains due to cellular enzymes from recombinant host cells. Administration to human subjects / patients may result in the removal of any remaining C-terminal lysine. "Linker" ("L") refers to a substance (such as a molecule) that binds an antibody to one or more drugs. The linker may be a cleavable linker or it may be a non-cleavable linker. The linker is preferably not cleavable. The non-cleavable linker keeps the drug attached to the antibody. Alternatively, for the purposes of the present invention, a linker may allow antibodies to be coupled, bound, joined, connected, tethered to one or more drugs, etc., for example. In other embodiments, the binding of the linker to antibodies and drugs is via covalent bonds. "Gp120" is defined as the envelope protein from HIV. This envelope protein was originally synthesized as a longer precursor protein of 845 to 870 amino acids in size, called gp160. gp160 is cleaved by cell proteases into gp120 and gp41. gp120 contains most of the exposed surface's external domain of the HIV envelope glycoprotein complex, and it is gp120 that binds to both the cellular CD4 receptor and the cellular chemokine receptor (such as CCR5). See, for example, US Patent Publication No. 20160009789. "Gp41" is defined as an HIV protein that contains a transmembrane domain and maintains a trimer configuration; it interacts with gp120 in a non-covalent manner. The envelope protein of HIV-1 was originally synthesized in size as a longer precursor protein of 845 to 870 amino acids, called gp160. gp160 forms a homotrimer and undergoes glycosylation in a Golgi apparatus. In vivo, it is subsequently cleaved by cellular proteases into gp120 and gp41. The amino acid sequence of one example of gp41 is described in GENBANK.RTM. incorporated by reference herein with accession number CAD20975 (available on October 16, 2009) (SEQ ID NO: 1). It should be understood that the sequence of gp41 may be different from the sequence given in GENBANK.RTM. Registration number CAD20975. gp41 contains a transmembrane domain and generally maintains a trimer configuration; it interacts with gp120 in a non-covalent manner. See, for example, US Patent Publication No. 20160009789 (gp120 vs. gp41). The term "gp160" refers to an envelope protein with a molecular weight of 160 kDa and containing different glycosylation sites. Gp160 acts as a precursor to both gp41 and gp120. For the purposes of the present invention, gp160 is a representative envelope glycoprotein, and HXB2D is a non-limiting example of an envelope sequence. For HXB2D, see for examplehttps://www.hiv.lanl.gov/content/sequence/HIV/REVIEWS/HXB2.html , The contents of which are incorporated by reference. The term "enveloped glycoprotein" or "glycoprotein" or "EnV" refers to an oligosaccharide chain (glycan) containing covalently attached to the side chain of a polypeptide and exposed on the surface of the HIV envelope. For the purpose of the present invention, after the antibody-drug conjugate is administered to an individual, the HIV gp160 envelope glycoprotein binds to the antibody-drug conjugate. In some embodiments, the HIV gp160 envelope glycoprotein is bound to the antibody portion of the antibody-drug conjugate. The term "broad-spectrum neutralizing antibody" (bNAb) is defined as inhibition of viral attachment and cell entry via binding to HIV envelope glycoproteins (Env) (eg gp160), as a non-limiting example, 50% inhibition of infection by more than 50% in vitro , 60%, 70%, 80%, 90%, 95%, 99% or more of the large group (more than 100) of HIV-1 enveloped pseudotyped virus and virus isolate antibodies. See, for example, U.S. Published Patent Application No. 20120121597. The term "drug" refers to a therapeutic agent for HIV, which encompasses, for example, a compound or larger molecule (eg, protein or peptide) capable of inducing a desired medical, therapeutic, or preventive effect against HIV when appropriately administered to an individual or cell. For example, in one embodiment, the antibody-drug conjugate comprises one or more peptides fused to the C-terminus of the heavy chain and / or light chain and the linker is 1 to 50 amino acids in length. For the purposes of the present invention, the one binding site targeted is the CD4 binding site. In various embodiments, the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein at the CD4 binding site. As defined herein, CD4 is a differentiation cluster factor 4 polypeptide; it is a T cell surface protein that mediates interaction with MHC class II molecules. CD4 is also used as the primary receptor site of HIV on cells during HIV-I infection. It is known that CD4 binds to gp120 of HIV. The known sequence of the CD4 precursor has a hydrophobic signal peptide, an extracellular region of about 370 amino acids, a highly hydrophobic extension that is significantly consistent with the transmembrane domain of the MHC class II β chain, and a highly charged cell of 40 residues Inner sequence (Maddon, Cell 42:93, 1985). The term "CD4" includes polypeptide molecules derived from CD4, including CD4 fragments, which are produced by chemical (eg, enzyme) digestion or genetic engineering. Such fragments may be one or more complete CD4 protein domains. The extracellular domain of CD4 consists of 4 consecutive immunoglobulin-like regions (D1, D2, D3, and D4, see Sakihama et al., Proc. Natl. Acad. Sci. 92: 6444, 1995; US Patent No. 6,117,655) , And amino acids 1 to 183 have been shown to participate in gp120 binding. For example, a binding molecule or binding domain derived from CD4 will include a sufficient portion of the CD4 protein to mediate the specific and functional interaction between the binding fragment and the natural or viral binding site of CD4. One such binding fragment includes both the D1 and D2 extracellular domains of CD4 (DID2 is also a fragment of soluble CD4 or sCD4 (which is composed of D1D2D3 and D4)), although smaller fragments can also provide similar specific and functional binding of CD4 . The gp120 binding site has been mapped to D1 of CD4. See, for example, US Published Patent Application No. 20120282264. In another embodiment, the invention includes antibodies that bind to HIV envelope glycoproteins at the gp120-gp41 interface. Such antibodies include (but are not limited to) antibodies selected from 8ANC195, 35O22 and PGT151. An example of 8ANC195 is described in US Publication No. 20150361160. An example of 35O22 is described in US Publication No. 20160022803. An example of PGT151 is described in US Publication No. 20150152167. In another embodiment, the invention includes antibodies that bind to the gp41 proximal membrane outer region (MPER), including (but not limited to) 4E10, 10E8, 2F5, and Z13e1. An example of 4E10 is described in US Publication No. 20160009789 . An example of 10E8 is described in PCT Publication No. WO2013070776. An example of 2F5 is described in US Publication No. 20150158934. An example of Z13e1 is described in US Publication No. 20120269821. One of the better anti-system 10E8 in this group. Preferred antibodies for binding to HIV envelope glycoproteins include (but are not limited to) VRC01, VRC07, VRC07-523, 3BNC117, NIH45-46, PGV04, b12, CH31, and CH103. In other embodiments, preferred antibodies include, but are not limited to, VRC01, VRC01-LS, VRC07, VRC07-LS, VRC07-523, 3BNC117, NIH45-46, PGV04, b12, CH31, CH103, N6, and N6-LS. An especially preferred anti-system VRC01. An example of this VRC01 was disclosed in Zhou et al., "Structural Basis for Broad and Potent Neutralization of HIV-1 by Antibody VRC01",Science Express , July 8, 2010, pages 1-102,www.sciencemag.org /cgi/content/full/science.1192819/DC1. More specifically, VRC01 can be combined with gp120. VRC01 can neutralize 90% of HIV strains / subtypes. Another example of such an antibody that binds to gp120 is VRC01-LS, as disclosed in WO2012106578. Another example of such an antibody that binds to gp120 is VRC07, as disclosed in WO2013086533. One example of VRC07-523 is described in J. Virol, 88 (21): pages 12669-12682 (November 2014). An example of 3BNC117 is described in US Publication No. 20140212458. An example of NIH45-46 is described in US Publication No. 20150274813. An example of PGV04 is described in US Publication No. 20130251726. An example of b12 is described in US Publication No. 20160009789. An example of CH31 is described in US Publication No. 20130251726. An example of CH103 is described in US Publication No. 20140212458. In various embodiments, the broad-spectrum neutralizing antibody Ab is selected from the group consisting of: 2G12, 2F5, 3BC176, 3BNC60, 3BNC117, 4E10, 8ANC131, 8ANC195, 10E8, 10-1074, 12A12, 35O22, b12, B2530, CH01-04, CH103, CH31, HJ16, M66.6, N6, N6-LS, NIH45-46, PG9, PG16, PGDM1400, PGT121, PGT128, PGT135, PGT141-PGT145, PGT151, PGV04, VRC01, VRC01-LS, VRC07, VRC07-523, VRC07-LS and Z13. In view of the above, the resistance systems VRC01, VRC01-LS, N6, N6-LS, VRC07 and VRC07-523 are particularly preferred. In addition to the above, an example of the disclosure of VRC01 is also described in US Patent No. 8,637,036. An example of the disclosure of VRC01-LS is described in WO 2012/106578. Examples of the disclosure of N6 and N6-LS are described in WO 2016/196975. Examples of the disclosures of VRC07 and VRC07-523 are described in US Patent No. 8,637,036, US Patent Publication No. 2014/0322163 A1, WO 2016/196975 and WO2017 / 79479. In one embodiment, the broad-spectrum neutralizing antibody Ab binds to an HIV envelope glycoprotein selected from the group consisting of gp160, gp120, and gp41. In one embodiment, the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein gp120. In one embodiment, the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein gp41. In one aspect of the invention, the broad-spectrum neutralizing antibody comprises any one, two, three, four, five, or all of the following CDRs: CDRH1 (SEQ ID NO: 3), CDRH2 (SEQ ID NO : 4), CDRH3 (SEQ ID NO: 5), CDRL1 (SEQ ID NO: 6), CDRL2 (SEQ ID NO: 7) and CDRL3 (SEQ ID NO: 8). In one embodiment of the invention, the broad-spectrum neutralizing antibody comprises the heavy chain variable region of SEQ ID NO: 9 and / or the light chain variable region of SEQ ID NO: 10. In one embodiment of the invention, the broad-spectrum neutralizing antibody includes a leucine residue at position 428 of the heavy chain and a serine residue at position 434 of the heavy chain. In one embodiment of the invention, the broad-spectrum neutralizing antibody comprises at least 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, SEQ ID NO: 11, 94%, 95%, 96%, 97%, 98%, 99% or 100% heavy chain with sequence identity and / or having at least 85%, 86%, 87%, 88%, 89 with SEQ ID NO: 13 Light chains with%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity. In one embodiment of the invention, the broad-spectrum neutralizing antibody comprises the heavy chain of SEQ ID NO: 12. In one embodiment, the broad-spectrum neutralizing antibody comprises a heavy chain having at least 90% sequence identity with SEQ ID NO: 9 and a light chain having at least 90% sequence identity with SEQ ID NO: 10. In one embodiment, the broad-spectrum neutralizing antibody comprises the heavy chain of SEQ ID NO: 11, optionally including the light chain of SEQ ID NO: 13. In one aspect of the invention, the broad-spectrum neutralizing antibody comprises any one, two, three, four, five, or all of the following CDRs: CDRH1 (SEQ ID NO: 14), CDRH2 (SEQ ID NO : 15), CDRH3 (SEQ ID NO: 16), CDRL1 (SEQ ID NO: 17), CDRL2 (SEQ ID NO: 18) and CDRL3 (SEQ ID NO: 19). In one embodiment, the broad-spectrum neutralizing antibody comprises a heavy chain having at least 90% sequence identity with SEQ ID NO: 20 and a light chain having at least 90% sequence identity with SEQ ID NO: 21. In one embodiment of the invention, the broad-spectrum neutralizing antibody comprises the heavy chain variable region of SEQ ID NO: 20 and the light chain variable region of SEQ ID NO: 21. In one embodiment of the invention, the broad-spectrum neutralizing antibody includes a leucine residue at position 428 of the heavy chain and a serine residue at position 434 of the heavy chain. In one embodiment of the invention, the broad-spectrum neutralizing antibody comprises at least 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93% having SEQ ID NO: 22 , 94%, 95%, 96%, 97%, 98%, 99% or 100% of the heavy chain sequence identity and having at least 85%, 86%, 87%, 88%, 89% of SEQ ID NO: 23 , 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity of the light chain. According to the invention, the linker molecule is covalently bonded to a broad-spectrum neutralizing antibody. Examples of such linkers are known in the art and preferably include, for example, cleavable and non-cleavable linkers. Examples of non-cleavable linkers may include linkers containing polyethylene glycol chains or polyethylene chains that are insensitive to acids or bases (such as linkers containing hydrazones), linkers that are not sensitive to reducing agents or oxidizing agents (such as Disulfide bond linkers), and linkers that are insensitive to enzymes that can be found in cells or the circulatory system. See, for example, US Patent No. 8,470,980 and US Patent Application No. 20090202536. Examples of particularly preferred linkers include, but are not limited to, those linkers selected from the following structures. In these examples, the linker is described in the context of various antibody-drug conjugates of the invention. The chemical moiety indicated as "bNAb" represents a broad-spectrum neutralizing antibody to which each linker is bonded and is located at another position of the linker. Similarly, the term "drug" refers to an HIV attachment inhibitor compound to which each linker is bonded and is located at another position of the linker.Other examples of linkers include (but are not limited to) linkers as explained below:In the above embodiments, the bNAb and the drug are each attached to the linker via various bindings (eg, cysteine and lysine). Other suitable linkers can be used. Examples of particularly suitable linkers and methods of attachment to antibody-drug conjugates are disclosed in Perez et al., Drug Discovery Today, Volume 19, No. 7, (2014), pages 869-881. As explained therein, in one non-limiting example of chemical bonding, the reactive moiety attached to the drug-linker can be covalently attached to the side chain of the amino acid residue (usually the e-amine from the amino acid) antibody. As demonstrated by Mylotarg1, N-hydroxysuccinimide (NHS) esters attached to the drug-linker to form a stable amide bond can be used to bind the lysine residue directly to gemtuzumab (See for example Bros, PF et al., Approval summary: gemtuzumab ozogamicin in relapsed acute myeloid leukemia,Clin. Cancer Res. , 17, pages 1490-1496 (2001). A two-step method can also be used, in which the surface lysine on the antibody is first modified to introduce a reactive group such as maleimide, and then bound to a drug containing a suitable reaction handle (eg thiol)- Linkers (see, for example, Junutula, JR et al., Site-specific conjugation of a cytotoxic drug to an antibody improves the therapeutic index, Nat. Biotechnol., 26: pages 925-932 (2008). Various known in the art Existing site-specific binding methods can be used to prepare ADCs. Such as thiomab drug binding, antibody drug conjugates via glutamine transaminase, non-natural amino acids for antibody drug conjugates, SmarTag [see for example Christopher R Behrens and Bin Liu, Methods for site-specific drug conjugation to antibodies, mAbs, Volume 6, Issue 1, pages 46-53 (2014)]. According to the present invention, antibody-drug conjugates include covalently bound to One or more drugs of the linker molecule, the one or more drugs can bind to the HIV envelope glycoprotein. As a non-limiting example, the one or more drugs are selected from attachment inhibitors. This also includes The following embodiment includes a first drug covalently bonded to a first linker molecule, the first linker molecule is covalently bonded to a bNAb; and a second drug covalently bonded to a second linker molecule , The second linker molecule is covalently bonded to bNAb. The term "attachment inhibitor" as used herein refers to a drug or agent used to treat HIV infection by interfering with HIV virion binding, fusion, and entry into human cells (Eg antiretroviral agents). Examples of attachment inhibitors include (but are not limited to) gp120 attachment inhibitors and gp160 attachment inhibitors. Examples of attachment inhibitors include (but not limited to) gp120 attachment inhibitors, gp160 attachment inhibitors And gp41 attachment inhibitors. Without intending to be bound by theory, in one embodiment, the attachment inhibitor targets the gp160 envelope protein (gp120 + gp41). An example of an attachment inhibitor is azaindole-side oxyethylpyrazine derivative And particularly preferred adhesion inhibitors have the following formula:, As described in US Patent Nos. 7,501,420; 7,354,924 and 7,662,823. Other examples of drugs include, but are not limited to, peptides (eg, as described in US Patent Nos. 6,133,418 and 6,475,491). For example, the drug may be a peptide that binds to CD4. A preferred example of this class of drugs is SEQ ID NO: 2 as set forth below: Ac-Tyr-Thr-Ser-Leu-Ile-His-Ser-Leu-Ile-Glu-Glu-Ser-Gln-Asn-Gln -Gln-Glu-Lys-Asn-Glu-Gln-Glu-Leu-Leu-Glu-Leu-Asp-Lys-Trp-Ala-Ser-Leu-Trp-Asn-Trp-Phe-NH2 SEQ ID NO: 2 is called T-20 and is commercially available from Roche under the trade name FUZEON®. Other examples of suitable compounds include, for example, the compounds described below: It is a gp160 adhesion inhibitor. The present invention also provides compounds of formula A that can be used as drugs in the antibody-drug conjugates disclosed herein:Where: X and Y are independently selected from the group consisting of: H, (C1 -C6 ) Alkyl, (C1 -C6 ) Alkoxy, halo, pendant, haloalkyl, dihaloalkyl, trihaloalkyl, haloalkoxy, dihaloalkoxy, trihaloalkoxy, hydroxyl, amine, amide And (C1 -C6 ) Alkyl- (C = O)-(C1-C6); R1 , R2 , R3 , R4 And R5 Independently selected from H or (C1 -C6 ) Alkyl; m in the range of 0 to 5; more preferably in the range of 1 to 4; n in the range of 0 to 5; more preferably in the range of 1 to 4; r in the range of 0 to 6; more preferably 1 to 6, most preferably 1 to 4; p is 0 to 6, more preferably 1 to 6, most preferably 1 to 4; and q is 0 to 6, more preferably 1 to 6, most preferably 1 to 4 ; Wherein the compound of formula A can pass R4 Or R5 Or Y is attached to the linker. In one embodiment, regarding the formulaA Compound: X is selected from Cl and F; and m is 2; Y is H; R1 , R2 , R3 , R4 And R5 Each is independently H; r is in the range of 1 to 4; best is 1; p is in the range of 1 to 4; best is 1; and q is in the range of 1 to 4; best is 2. A better formA The compound is:. Such compounds can be prepared according to the following synthesis:Where X, Y, m, n, R1 And R4 Defined above. Examples of drug-linker pairs that can be used in conjunction with the antibodies of the present invention include (but are not limited to) the following: andamong themIndicates attachment to bNAb. Specific examples of antibody-drug conjugates are as follows: Where t is in the range of 1 to 12. Examples of current compounds and agents used in the treatment of HIV include various other entry and fusion inhibitors, such as AMD070, BMS-488043, Fozivudine tidoxil, GSK-873,140 (aplaviroc), PRO 140, PRO 542, Peptide T, SCH-D (vicriviroc), TNX-355 and UK-427,857 (maraviroc); integrase inhibitors such as GS 9137, MK- 0518, as described in US Patent No. 9,259,433. In a non-limiting aspect, the invention encompasses antibody-drug conjugates in which the linker attaches the antibody to the agent by attaching to a specific amino acid within the antibody or antigen binding molecule. See, for example, US Patent No. 9,302,015. Exemplary amino acid attachments that can be used in the context of this aspect of the invention include, for example: lysine (see, eg, US Patent No. 5,208,020; US 2010/0129314; Hollander et al., Bioconjugate Chem., 2008, 19 : 358-361; WO 2005/089808; US Patent No. 5,714,586; US 2013/0101546; and US 2012/0585592), cysteine (see for example US 2007/0258987; WO 2013/055993; WO 2013/055990; WO 2013/053873; WO 2013/053872; WO 2011/130598; US 2013/0101546; and US Patent No. 7,750,116), selenium cysteine (see, for example, WO 2008/122039; and Hofer et al., Proc. Natl. Acad. Sci., USA, 2008, 105: 12451-12456), methylglycine (see, for example, Carrico et al., Nat. Chem. Biol., 2007, 3: 321-322; Agarwal et al., Proc. Natl . Acad. Sci., USA, 2013, 110: 46-51, and Rabuka et al., Nat. Protocols, 2012, 10: 1052-1067), unnatural amino acids (see for example WO 2013/068874 and WO 2012 / 166559), and acidic amino acids (see for example WO 2012/05982). Linkers can also be attached to carbohydrates (see for example US 2008/0305497, WO 2014/065661 and Ryan et al., Food & Agriculture Immunol., 2001, 13: 127-130) and disulfide bond linkers (see for example WO 2013/085925, WO 2010/010324, WO 2011/018611 and Shaunak et al., Nat. Chem. Biol., 2006, 2: 312-313) bind to antigen binding proteins. In an embodiment in which the drug-based peptide or polypeptide (eg, DAB) within the antibody-drug conjugate, the linker may be a drug peptide or a drug peptide at one or two antibody heavy chains or one or two antibody light chains The drug polypeptide is linked to the antibody, thereby generating the amino acid linker of the fusion protein. In one embodiment, the drug peptide or drug polypeptide is fused to the C-terminus of one or both heavy chains of the antibody. In one embodiment, the length of the amino acid linker is between 0 and 150 amino acids, more specifically, in another embodiment, for example, between 0 and 50 amino acids. In another aspect, as defined herein, the invention encompasses antibody-drug conjugates in which one or more drugs are attached to the antibody at two or more discrete locations. This aspect may include, but is not limited to, any antibodies, linkers, and drugs as defined herein. Specific examples of such antibody-drug conjugates are (but not limited to):Where t and t 'are independently in the range of 1 to 12. "Cure" or "Curing" patients' disease is used to refer to the eradication, cessation, interruption or termination of human immunodeficiency virus or symptoms or the development of symptoms or viruses for a defined period of time. For example, in one embodiment, "Cure" or "Curing" means inducing and maintaining alone or in combination with one or more agents without any other therapeutic intervention for at least one year or two years, for example Durable virus control of human immunodeficiency virus (by, for example, polymerase chain reaction (PCR) test, bDNA (branch chain DNA) test or NASBA (nucleic acid sequence based amplification) test, the level of plasma viremia is undetectable) Therapeutic administration or combination of administration. The above PCR, bDNA and NASBA tests are performed using techniques known and familiar to those skilled in the art. For example, human immunity lacks viruses or symptoms or the eradication, cessation, interruption or termination of symptoms or virus development can be maintained for a minimum of two years. "Treating" or "treatment" of a patient's disease means 1) preventing the disease from happening to patients who are prone to disease or who have not yet shown symptoms of the disease; 2) inhibiting the disease or retarding its development; or 3) improving the disease or causing the disease Subside. According to an embodiment of the present invention, there is provided a pharmaceutical composition comprising the antibody-drug conjugate as described herein and a pharmaceutically acceptable excipient. According to one embodiment of the invention, there is provided a method of curing HIV infection in an individual, the method comprising administering to the individual an antibody-drug conjugate as described herein. According to an embodiment of the present invention, there is provided a method of curing HIV infection in an individual, the method comprising administering to the individual a pharmaceutical composition as described herein. According to an embodiment of the present invention, there is provided a method of treating HIV infection in an individual, the method comprising administering to the individual an antibody-drug conjugate as described herein. According to one embodiment of the present invention, there is provided a method of treating HIV infection in an individual, the method comprising administering to the individual a pharmaceutical composition as described herein. According to one embodiment of the present invention, there is provided a method of preventing HIV infection in an individual at risk of developing HIV infection, the method comprising administering to the individual an antibody-drug conjugate as described herein. According to an embodiment of the present invention, there is provided a method of preventing HIV infection in an individual at risk of developing HIV infection, the method comprising administering to the individual a pharmaceutical composition as described herein. In another embodiment of the present invention, there is provided an antibody-drug conjugate as described herein, which is used as a medicament. In another embodiment of the present invention, there is provided an antibody-drug conjugate as described herein, which is used to cure HIV infection. In another embodiment of the present invention, there is provided an antibody-drug conjugate as described herein for use in the treatment of HIV infection. In another embodiment of the present invention, there is provided an antibody-drug conjugate as described herein, which is used to prevent HIV infection. In another embodiment of the present invention, an antibody-drug conjugate is provided, wherein it is used to manufacture a medicament for treating HIV infection in humans. In another embodiment of the present invention, an antibody-drug conjugate is provided, wherein it is used to manufacture a medicament for preventing HIV infection in humans. In another embodiment of the present invention, an antibody-drug conjugate is provided, wherein the compound or salt thereof is used to manufacture a medicament for curing HIV infection in humans. In one embodiment, the pharmaceutical formulation containing the antibody-drug conjugate is suitable for parenteral administration. In another embodiment, the formulation is a long-acting parenteral formulation. The antibody-drug conjugate of the present invention can be used alone or in combination with other therapeutic agents. Therefore, in other embodiments, in addition to administering the antibody-drug conjugate, the method of treating and / or preventing HIV infection in an individual may further include administering one or more other agents that are active against HIV. In such embodiments, the one or more other agents having anti-HIV activity are selected from the group consisting of zidovudine, didanosine, lamivudine, Zalcitabine, abacavir, stavudine, adefovir, adefovir dipivoxil, fozivudine, and Todoxil, emtricitabine, alovudine, amdoxovir, amvuxitabine, nevirapine, delavirdine ), Efavirenz, loviride, immunocal, oltipraz, capravirine, lersivirine, GSK2248761, TMC -278, TMC-125, etravirine, saquinavir, ritonavir, indinavir, nelfinavir, amprena Amprenavir, fosamprenavir, brecanavir, darunavir, atazanavir, substitute Tipranavir, palinavir, lasinavir, enfuvirtide, T-20, T-1249, PRO-542, PRO-140, TNX-355 , BMS-806, BMS-663068 and BMS-626529, 5-Helix, raltegravir, raltegravir, elvitegravir, dolutegravir, cabotegravir, dimensional Vicriviroc (Sch-C), Sch-D, TAK779, maraviroc, TAK449, didanosine, tenofovir, lopinavir, and Darunavir. Thus, the antibody-drug conjugate of the present invention and any other pharmaceutically active agent can be administered together or separately, and when administered separately, the administration can be performed simultaneously or continuously in any order. The amount and relative timing of administration of the antibody-drug conjugate and other pharmaceutically active agents of the present invention will be selected to achieve the desired combined therapeutic effect. The combination of antibody-drug conjugate and other therapeutic agents can be administered by the following concomitant administration: (1) a single pharmaceutical composition comprising two compounds; or (2) separate medicines each comprising one of the compounds combination. Alternatively, the combination can be administered separately in a sequential manner, where one therapeutic agent is administered first and another second therapeutic agent is administered second or vice versa. Such sequential casting can be close in time or very far apart in time. The amount and relative timing of antibody-drug conjugates and other pharmaceutically active agents will be selected to achieve the desired combined therapeutic effect. In addition, the antibody-drug conjugate can be used in combination with one or more other agents suitable for preventing, treating or curing HIV. Examples of such agents include:Nucleotide reverse transcriptase inhibitor , Such as zidovudine, didanosine, lamivudine, zalcitabine, abacavir, stavudine, adanfo, adefovir dipivoxil, fozivudine, todosi , Android, citabine, alovudine, amdoxovir, avtabine, TDF, TAF and similar agents;Non-nucleotide reverse transcriptase inhibitor (Including agents with antioxidant activity, such as imipracam, otepra, etc.), such as nevirapine, derivadine, efavirenz, loviramide, imicam, otepra, capraline , Le Sirini, GSK2248761, TMC-278, TMC-125, Etravirine and similar agents;Protease inhibitor , Such as saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, fusanavir, becanavir, darunavir, atazanavir, tilanavir Wei, Palinavi, Lasinavir and similar agents;Integrase inhibitor , Such as rettevir, antegevir, bictegravir, duruvir, capravir and similar agents;Maturation inhibitor , Such as PA-344 and PA-457, and similar agents; and GSK2838232.CXCR4 and / or CCR5 Inhibitor , Such as Vic Viro (Sch-C), Sch-D, TAK779, Maravira (UK 427,857), TAK449, and disclosed in WO 02/74769, PCT / US03 / 39644, PCT / US03 / 39975, PCT / US03 / 39619, PCT / US03 / 39618, PCT / US03 / 39740 and PCT / US03 / 39732, among others, and similar agents. Other examples in which the antibody-drug conjugate of the present invention can be used in combination with one or more agents suitable for preventing or treating HIV are shown in Table 2.table 2 The scope of the combination of the antibody-drug conjugate and HIV agent of the present invention is not limited to those agents mentioned above, but in principle includes any combination with any pharmaceutical composition suitable for curing, treating and / or preventing HIV. As mentioned, in such combinations, the antibody-drug conjugates of the invention and other HIV agents can be administered separately or in combination. In addition, one agent may be administered before, concurrently with, or after other agents. The present invention can be used in combination with one or more agents suitable as pharmacological enhancers and with or without other compounds used to prevent or treat HIV. Examples of such pharmacological enhancers (or pharmacokinetic enhancers) include, but are not limited to, ritonavir, GS-9350, and SPI-452. Ritonavir [5S- (5S *, 8R *, 10R *, 11R *)] 10-hydroxy-2-methyl-5- (1-methylethyl) -1-1 [2- (1 -Methylethyl) -4-thiazolyl] -3,6-bi- pendant-8,11-bis (phenylmethyl) -2,4,7,12-tetraazatridecane-13 -Acid 5-thiazolyl methyl ester and available from Norvir from Abbott Laboratories of Abbott park, Illinois. Ritonavir is an HIV protease inhibitor indicated along with other antiretroviral agents used to treat HIV infection. Ritonavir also inhibits P450-mediated drug metabolism and P-glycoprotein (Pgp) cell transport system, thereby increasing the concentration of active compounds in the organism. GS-9350 is a compound developed by Gilead Sciences of Foster City California as a pharmacological enhancer. SPI-452 is a compound developed by Sequoia Pharmaceuticals of Gaithersburg, Maryland as a pharmacological enhancer. When used in combination with the chemical entities described herein, the other therapeutic agents described above can be used, for example, as indicated in the Physicians' Desk Reference (PDR) or in equivalent amounts as determined by those of ordinary skill in other ways. In another embodiment of the present invention, there is provided a method for treating a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate. In another embodiment of the present invention, there is provided a method for treating a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate, where the virus is an HIV virus. In some embodiments, the HIV virus is HIV-1 virus. In another embodiment of the present invention, there is provided a method for treating a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection to administer the antibody-drug conjugate, the method further comprises administering a therapeutically effective amount of one or more agents having anti-HIV viral activity. In another embodiment of the present invention, there is provided a method for treating a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection to administer an antibody-drug conjugate, the method further comprises administering a therapeutically effective amount of one or more agents with anti-HIV viral activity, wherein the agents with anti-HIV viral activity are selected Self-nucleotide reverse transcriptase inhibitors; non-nucleotide reverse transcriptase inhibitors; protease inhibitors; entry, attachment and fusion inhibitors; integrase inhibitors; maturation inhibitors; CXCR4 inhibitors; and CCR5 inhibitors. In another embodiment of the present invention, there is provided a method for preventing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate. In another embodiment of the present invention, there is provided a method for preventing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate, where the virus is an HIV virus. In some embodiments, the HIV virus is HIV-1 virus. In another embodiment of the present invention, there is provided a method for preventing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses, the method comprising Or a mammal at risk of developing the virus infection to administer the antibody-drug conjugate, the method further comprises administering a therapeutically effective amount of one or more agents having anti-HIV viral activity. In another embodiment of the invention, a method for curing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses is provided, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate. In another embodiment of the invention, a method for curing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses is provided, the method comprising Or a mammal at risk of developing the virus infection is administered an antibody-drug conjugate, where the virus is an HIV virus. In some embodiments, the HIV virus is HIV-1 virus. In another embodiment of the invention, a method for curing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses is provided, the method comprising Or a mammal at risk of developing the virus infection to administer the antibody-drug conjugate, the method further comprises administering a therapeutically effective amount of one or more agents having anti-HIV viral activity. In another embodiment of the invention, a method for curing a viral infection in a mammal mediated at least in part by a virus in the retroviral family of viruses is provided, the method comprising Or a mammal at risk of developing the virus infection to administer an antibody-drug conjugate, the method further comprises administering a therapeutically effective amount of one or more agents with anti-HIV viral activity, wherein the agents with anti-HIV viral activity are selected Self-nucleotide reverse transcriptase inhibitors; non-nucleotide reverse transcriptase inhibitors; protease inhibitors; entry, attachment and fusion inhibitors; integrase inhibitors; maturation inhibitors; CXCR4 inhibitors; and CCR5 inhibitors. In another embodiment, a pharmaceutical composition comprising a pharmaceutically acceptable diluent and a therapeutically effective amount of antibody-drug conjugate is provided. As used herein, the term "pharmaceutically acceptable" refers to those antibody-drugs that are suitable for contact with human and animal tissues without excessive toxicity, irritation, or other problems or complications, within the scope of reasonable medical judgment Conjugates, medicaments, compounds, materials, compositions and dosage forms. The drug administration described herein can be via any of the acceptable modes of administration that provide similarly effective agents, including (but not limited to): oral, sublingual, subcutaneous, intravenous, intranasal, topical, and Skin, intraperitoneal, intramuscular, lung, transvaginal, transrectal or intraocular. In some embodiments, oral or parenteral administration is used. An example of administration is intravenous administration. In this case, a pharmaceutical formulation suitable for intravenous administration is used. Another example of administration is intramuscular administration, in which case a pharmaceutical formulation suitable for intramuscular administration is used. Another example of administration is subcutaneous administration, in which case a pharmaceutical formulation suitable for subcutaneous administration is used. Pharmaceutical compositions or formulations include solid, semi-solid, liquid, and aerosol dosage forms, such as tablets, capsules, powders, liquids, suspensions, suppositories, aerosols, or similar dosage forms suitable for any of the above administrations. Antibody-drug conjugates can also be administered in sustained or controlled release dosage forms, including reservoir injections, osmotic pumps, pills, transdermal (including electromigration) patches, and similar dosage forms, for long-term and / Or timing pulse administration. In certain embodiments, the composition is provided in a unit dosage form suitable for single administration of precise dosages. The antibody-drug conjugates described herein can be used alone or more typically with conventional pharmaceutical carriers, excipients or analogs (e.g. mannitol, lactose, starch, magnesium stearate, sodium saccharin, talc, Cellulose, croscarmellose sodium, glucose, gelatin, sucrose, magnesium carbonate and the like) are administered in combination. If necessary, the pharmaceutical composition may also contain small amounts of non-toxic auxiliary substances, such as wetting agents, emulsifiers, solubilizers, pH buffers and the like (eg sodium acetate, sodium citrate, cyclodextrin derivatives, dehydrated sorbitan) Sugar alcohol monolaurate, triethanolamine acetate, triethanolamine oleate and the like). In general, depending on the intended mode of administration, the pharmaceutical composition will contain about 0.005% to 95% by weight; in certain embodiments, about 0.5% to 50% by weight ADC ?. The actual method of preparing these dosage forms is known, or will be apparent to those skilled in the art; for example seeRemington's Pharmaceutical Sciences , Mack Publishing Company, Easton, Pennsylvania. In certain embodiments, the composition will be in the form of pills or lozenges, and therefore along with the active ingredient, the composition will contain a diluent such as lactose, sucrose, dicalcium phosphate or the like; lubricants such as stearin Magnesium acid or its analogues; and binders such as starch, gum arabic, polyvinylpyrrolidone, gelatin, cellulose, cellulose derivatives or their analogues. In another solid dosage form, the powder, marume, solution or suspension (for example in propyl carbonate, vegetable oil or triglyceride) is encapsulated in gelatin capsules. The liquid pharmaceutical composition can be administered, for example, by dissolving and dispersing at least one antibody-drug conjugate and optionally pharmaceutical adjuvant in a carrier (such as water, physiological saline, dextrose in water, glycerin , Glycol, ethanol or the like) is prepared to form a solution or suspension. Injectables can be prepared in conventional forms, either as liquid solutions or suspensions, as emulsions, or as solids suitable for solution or suspension in liquid prior to injection. The percentage of antibody-drug conjugates contained in such parenteral compositions is highly dependent on their specific properties and the activity of the chemical entity and the needs of the individual. However, a percentage of active ingredient in the solution of 0.01% to 10% is available, and it will be higher if the composition is a solid that is subsequently diluted to the above percentage. In certain embodiments, the composition will contain about 0.2% to 2% active agent in the solution. The pharmaceutical composition of the antibody-drug conjugate described herein may also be administered in the form of an aerosol or solution for nebulizers or in the form of fine powder for insufflation, alone or in combination with an inert carrier such as lactose Respiratory tract. In such cases, the diameter of the particles of the pharmaceutical composition is less than 50 microns, and in some embodiments less than 10 microns. In general, the provided antibody-drug conjugates are administered in a therapeutically effective amount by any of the acceptable modes of administration of agents that provide similar utility. The actual amount of antibody-drug conjugate depends on many factors, such as the severity of the disease to be treated, the age and relative health of the individual, the efficacy of the antibody-drug conjugate used, the route and form of administration, and others factor. The antibody-drug conjugate can be administered more than once a day, such as once or twice a day. The therapeutically effective amount of the antibody-drug conjugate described herein can be in the range of about 0.01 to 200 mg per kg of body weight of the recipient per day; such as about 0.01-100 mg / kg / day, for example about 0.01 to 50 mg / kg / day . Therefore, for administration to a 70 kg person, the dosage range may be about 1-1000 mg per day. Generally, antibody-drug conjugates are administered in the form of pharmaceutical compositions by any of the following routes: oral, systemic (eg, transdermal, intranasal, or suppository) or parenteral (eg, muscle) (Intravenously, intravenously or subcutaneously). In some embodiments, oral administration may be used, where the appropriate daily dosage regimen may be adjusted according to the degree of illness. The composition may take the form of lozenges, pills, capsules, semi-solids, powders, sustained release formulations, solutions, suspensions, elixirs, aerosols, or any other suitable composition. Another way to administer the provided chemical entities is by inhalation. The choice of formulation depends on various factors, such as the mode of drug administration and the bioavailability of antibody-drug conjugates. For delivery via inhalation, the chemical entity can be formulated as a liquid solution, suspension, aerosol propellant or dry powder and loaded into a suitable dispenser for administration. There are several types of medical inhalation devices-nebulizer inhalers, fixed dose inhalers (MDI) and dry powder inhalers (DPI). The nebulizer device generates a high-speed air flow, so that the therapeutic agent (dispensed into a liquid form) is sprayed into a mist and carried into the patient's respiratory tract. MDI is usually a compound encapsulated with compressed gas. Once activated, the device is a therapeutic agent that is measured by the amount of compressed gas released, thus providing a reliable method of administering a set amount of agent. DPI dispenses the therapeutic agent in the form of a free-flowing powder, which can be dispersed in the patient's inspiratory air flow by the device during breathing. To obtain a free-flowing powder, the therapeutic agent is formulated with excipients such as lactose. The measured therapeutic agent is stored in capsule form and dispensed with each actuation. Recently, pharmaceutical compositions have been developed for drugs that exhibit poor bioavailability based on the principle that bioavailability can be improved by increasing surface area (ie, decreasing particle size). For example, US Patent No. 4,107,288 describes pharmaceutical formulations with a particle size range of 10 to 1,000 nm, where the active substance is supported on a cross-linked matrix of macromolecules. U.S. Patent No. 5,145,684 describes the production of a pharmaceutical formulation in which an API is pulverized into nanoparticles (average particle size is 400 nm) in the presence of a surface modifier, and then dispersed in a liquid medium to be demonstrated Significantly higher bioavailability of pharmaceutical formulations. The composition generally consists of at least one antibody-drug conjugate described herein in combination with at least one pharmaceutically acceptable excipient. Acceptable excipients are non-toxic, aid in administration, and do not adversely affect the therapeutic benefits of at least one chemical entity described herein. Such excipients can be any solid, liquid, semi-solid or (in the case of aerosol compositions) gaseous excipients generally available to those skilled in the art. Solid pharmaceutical excipients include starch, cellulose, talc, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silicone, magnesium stearate, sodium stearate, glyceryl monostearate, chlorine Sodium hydroxide, skimmed milk powder and the like. The liquid and semi-solid excipients can be selected from glycerin, propylene glycol, water, ethanol, and various oils including oils derived from petroleum, animal, plant, or synthetic sources, such as peanut oil, soybean oil, mineral oil, sesame oil, and the like. Liquid carriers for injectable solutions include water, physiological saline, dextrose solution and glycol. Compressed gas can be used to disperse the antibody-drug conjugates described herein in aerosol form. Suitable inert gases for this purpose are nitrogen and carbon dioxide. Other suitable pharmaceutical excipients and their formulations are described in Remington's Pharmaceutical Sciences, edited by E.W. Martin (Mack Publishing Company, 18th edition, 1990). The amount of antibody-drug conjugate in the composition can vary within the full range used by those skilled in the art. Generally, in weight percent (wt%), the composition will contain about 0.01-99.99 wt% of the antibody-drug conjugate entity described herein based on the total composition, with the balance being one or more suitable pharmaceutical excipients. In certain embodiments, the antibody-drug conjugates described herein are present at a level of about 1-80 wt%. Various broad-spectrum neutralizing antibodies (bnAbs) have been explored as ARVs by infusion into HIV-infected individuals or related models, with limited success. The term "ARV" refers to "anti-retrovirus", which is a drug used to treat retrovirus (ie HIV) infection to inhibit the propagation of such viruses. Resistance to bnAb developed during treatment, similar to that observed with small molecule ARV. For this reason, it is believed that a bifunctional molecule composed of bnAb and a small molecule attachment inhibitor targeting gp160 according to the present invention can increase the breadth of the diversity of gp160 that is inhibited and by a molecule similar to HAART provided by multiple small molecules Provide a variety of anti-viral targets to improve durability. The term "HAART" refers to "highly active antiretroviral therapy", which is a combination of more than one (eg, 2, 3, or 4) drugs used to treat HIV.Examples 1 gp160 Synthesis of Attachment Inhibitor The following route is used to prepare the drug for the antibody-drug conjugate (Scheme 1) of the present invention: Examples 2 Experimental procedure Binding agentA To VRC01 and gp160 inhibitors and linkers were prepared according to Scheme 1 to Scheme 4. In this example, lysine binding is performed with VRCO1; therefore, succinimide ester is incorporated into the binding agent. As an alternative to trying to verify biological activity after all these modifications, compounds were also preparedB . Scenario 2Scheme 3Scheme 4Scheme 5Other binding methods such as cysteine binding and other site-specific binding methods can also be considered. With regard to these various combinations, suitable binding agents can be prepared accordingly using similar chemical schemes as described herein.Examples 3 gp160 Synthesis of Attachment Inhibitor The gp160 adhesion inhibitor is prepared according to the following synthetic route: N1- (4-((4- chlorine -3- Fluorophenyl ) Carbamoyl )-2-( Piperidine -1- Methyl ) Benzyl ) -N2- (3- ( Dimethylamino ) Propyl ) Ethylenediamide step 14- Nitro -3- ( Piperidine -1- Methyl ) Methyl benzoate Combine 3-methylaceto-4-nitrobenzoic acid methyl ester (15 g, 71.7 mmol) and piperidine (14.17 mL, 143 mmol) in 1,2-dichloroethane (DCE) (150 mL) The solution was treated with acetic acid (8.21 mL, 143 mmol). After 30 minutes, the reaction mixture was treated with sodium triethoxyborohydride (24.32 g, 115 mmol) and stirred overnight. Saturated NaHCO for reaction3 Quenched, extracted with DCM, saturated NaHCO3 , Brine washing, after Na2 SO4 Dry, filter and concentrate. The residue was purified by silica gel chromatography (EtOAc / hexane gradient) to give methyl 4-nitro-3- (1-piperidylmethyl) benzoate (16.14 g, 58.0 mmol, 81% yield) . LC / MS (m / z ) ES + = 279.3 (M + 1) + Step 2N- (4- chlorine -3- Fluorophenyl ) -4- Nitro -3- ( Piperidine -1- Methyl ) Benzamide A solution of methyl 4-nitro-3- (1-piperidylmethyl) benzoate (16.05 g, 57.7 mmol) in tetrahydrofuran (THF) (100 mL) and methanol (100 mL) was treated with LiOH (250 mL, 250 mmol) and stirred at ambient temperature for 4 hours. The mixture was concentrated to give the crude product 4-nitro-3- (1-piperidylmethyl) benzoic acid (20.51 g). Suspend the acid intermediate in SOCl2 (50 mL, 685 mmol), refluxed for 1.5 hours, and concentrated to give 4-nitro-3- (1-piperidylmethyl) benzoyl chloride (LCMS, meoh, ES + 279, methyl ester) . The acetyl chloride was suspended in dichloromethane (DCM) (100 mL), using 4-chloro-3-fluoroaniline (7.97 g, 54.8 mmol), Et3 Treated with N (12.06 mL, 87 mmol) and stirred at ambient temperature overnight. Also add Et3 N (4 mL), DCM (11 mL) and aniline (418 mg), and the reaction was stirred overnight. Saturated NaHCO for suspension3 Quenched, extracted twice with DCM, saturated NaHCO3 Wash once, wash with brine, pass Na2 SO4 Dry, filter and concentrate. Purified by silica gel column chromatography (0-50% EtOAc / hexane) to obtain N- (4-chloro-3-fluorophenyl) -4-nitro-3- (1- Piperidinylmethyl) benzamide (13.86 g, 35.4 mmol, 61.3% yield). LC / MS (m / z ) ES + = 279.3 (M + 1) + Step 34- Amine -N- (4- chlorine -3- Fluorophenyl ) -3- ( Piperidine -1- Methyl ) Benzamide N- (4-chloro-3-fluorophenyl) -4-nitro-3- (1-piperidylmethyl) benzamide (13 g, 33.2 mmol) in methanol (130 mL) The solution was slowly added to a refluxing mixture of hydrazine hydrate (16.14 mL, 332 mmol) and Raney 2800 nickel (4.2 g, 33.2 mmol) in methanol (130 mL). The reaction was refluxed for 1 hour, cooled to ambient temperature, filtered through celite, washed with MeOH and DCM, and then concentrated to give the crude product 4-amino-N- (4-chloro-3-fluoro) as a pale yellow solid Phenyl) -3- (1-piperidinylmethyl) benzamide (11.56 g, 31.9 mmol, 96% yield). LC / MS (m / z ) ES + = 362.3 (M + 1) + Step 44- bromine -N- (4- chlorine -3- Fluorophenyl ) -3- ( Piperidine -1- Methyl ) Benzamide An ice-cooled mixture of copper (II) bromide (0.648 g, 2.90 mmol) in acetonitrile (20 mL) was treated with tert-butyl nitrite (0.730 mL, 5.53 mmol), followed by 4-amino-N- (4 -Chloro-3-fluorophenyl) -3- (1piperidylmethyl) benzamide (1.000 g, 2.76 mmol) and the resulting dark mixture was stirred at ambient temperature overnight. Add saturated NaHCO3 And diluted with ethyl acetate. The mixture was filtered through a pad of diatomaceous earth and the aqueous layer was extracted with EA. The extract was washed with brine, washed with Na2 SO4 Dry, filter and concentrate. The residue was purified by silica gel chromatography (0-10% MeOH / DCM gradient) to give a dark residue (482 mg, 32%). 1H NMR (400 MHz, methanol-d4) d ppm 1.50 (d, J = 5.07 Hz, 2 H), 1.56-1.71 (m, 4 H), 2.53 (br. S., 4 H), 3.67 (s, 2 H), 7.37-7.48 (m, 2 H), 7.68-7.76 (m, 2 H), 7.78-7.87 (m, 1 H), 8.05 (d, J = 1.95 Hz, 1 H); LC / MS (m / z) ES + = 425 (M + 1). Step 5N- (4- chlorine -3- Fluorophenyl ) -4- Cyano -3- ( Piperidine -1- Methyl ) Benzamide Combine 4-bromo-N- (4-chloro-3-fluorophenyl) -3- (1-piperidinyl-methyl) benzamide (2 g, 4.70 mmol) and Zn (CN)2 (0.386 g, 3.29 mmol) in N, N-dimethylformamide (DMF) (23.49 ml) was suspended with N2 Degas for 5 minutes and then use Pd (PPh3 )4 (0.271 g, 0.235 mmol). The reaction mixture was irradiated in the microwave at 120 ° C for 20 minutes. The reaction mixture was poured into water and extracted with EtOAc. The combined extracts were washed with brine and dried (Na2 SO4 ), Filtered and concentrated. The residue was purified by silica gel chromatography (0-50% EtOAc-hexane) to give N- (4-chloro-3-fluorophenyl) -4-cyano-3- (1-piperidinylmethyl ) Benzoamide (1.66 g, 4.46 mmol, 95% yield). LC / MS (m / z) ES + = 372.3 (M + 1). Step 64- ( Aminomethyl ) -N- (4- chlorine -3- Fluorophenyl ) -3- ( Piperidine -1- Methyl ) Benzamide Ammonia-saturated N- (4-chloro-3-fluorophenyl) -4-cyano-3- (1-piperidylmethyl) benzamide (5.00 g, 13.45 mmol) in ethanol (100 The mixture in mL) was treated with Raney 2800 nickel (12 mL, 13.45 mmol) and then stirred under 50 psi hydrogen for 72 h. The mixture was filtered on Celite and washed with ethyl acetate, DCM and MeOH. The filtrate was concentrated to give the title compound product as a light green solid.1 H NMR (400 MHz, methanol-d4) d ppm 1.56 (br. S., 6 H), 2.48 (br. S., 4 H), 3.61 (s, 2 H), 3.90 (s, 2 H), 7.38-7.55 (m, 3 H), 7.76-7.90 (m, 3 H); LC / MS (m / z) ES + = 376 (M + 1). Step 72-((4-((4- chlorine -3- Fluorophenyl ) Carbamoyl )-2-( Piperidine -1- Methyl ) Benzyl ) Amine )-2- Pendant methyl acetate Combine 4- (aminomethyl) -N- (4-chloro-3-fluorophenyl) -3- (1-piperidinylmethyl) benzamide (1.000 g, 2.66 mmol) and Schunich's An ice-cooled mixture of Hunig's base (0.697 mL, 3.99 mmol) in tetrahydrofuran (THF) (20 mL) was slowly treated with methylethylenedichloride (0.270 mL, 2.93 mmol). The mixture was stirred for 5 minutes and was judged complete by LCMS. The mixture was diluted with ethyl acetate, followed by saturated NaHCO3 And brine washing, after Na2 SO4 Dry, filter and concentrate. The residue was purified by silica gel chromatography (0-10% MeOH / DCM) to give the title compound as a light yellow solid. 1H NMR (400 MHz, DMSO-d 6) d ppm 1.33-1.46 (m, 2 H), 1.46-1.57 (m, 4 H), 2.37 (br. S., 4 H), 3.57 (s, 2 H), 3.78 (s, 3 H) , 4.56 (d,J = 6.06 Hz, 2 H), 7.43 (d,J = 8.01 Hz, 1 H), 7.51-7.62 (m, 2 H), 7.80 (d,J = 1.56 Hz, 1 H), 7.85 (dd,J = 8.01, 1.76 Hz, 1 H), 7.91-7.97 (m, 1 H), 9.51 (t,J = 6.06 Hz, 1 H), 10.49 (s, 1 H); LC / MS (m / z ) ES + = 462 (M + 1). Step 82-((4-((4- chlorine -3- Fluorophenyl ) Carbamoyl )-2-( Piperidine -1- Methyl ) Benzyl ) Amine )-2- Pendant acetic acid 2-((4-((4-chloro-3-fluorophenyl) aminecarboxamide) -2- (piperidin-1-ylmethyl) benzyl) amino) -2-oxo A solution of methyl acetate (288 mg, 0.623 mmol) in MeOH (5 mL) and THF (5 mL) was treated with 1 M LiOH (1 mL). After 2 hours, the reaction mixture was concentrated in vacuo to give the title compound (279 mg, 106%). LC / MS (m / z ) ES + = 448.3 (M + 1). Step 9N1- (4-((4- chlorine -3- Fluorophenyl ) Carbamoyl )-2-( Piperidine -1- Methyl ) Benzyl ) -N2- (3- ( Dimethylamino ) Propyl ) Ethylenediamide ({[4-{[(4-chloro-3-fluorophenyl) amino] carbonyl] -2- (1-piperidinylmethyl) phenyl] methyl} amino) (side oxygen) Acetic acid (30.0 mg, 0.066 mmol), N, N-dimethyl-1,3-propanediamine (0.017 mL, 0.132 mmol) and Schunich's base (0.035 mL, 0.198 mmol) in N, N-di The mixture in methylformamide (DMF) (1.0 mL) was treated with T3P (0.079 mL, 0.132 mmol) and then stirred at ambient temperature for 5 minutes. The mixture was purified by RP-HPLC (TFA modification) to obtain the slightly impure desired product, which was further purified by RP-HPLC (NH4OH modification) to obtain the desired product as a white solid. 1H NMR (400 MHz, DMSO-d 6) d ppm 1.40 (br. S., 2 H), 1.49-1.64 (m, 6 H), 2.09 (s, 6 H), 2.18 (t,J = 7.02 Hz, 2 H), 2.37 (br. S., 4 H), 3.15 (q,J = 6.57 Hz, 2 H), 3.57 (s, 2 H), 4.52 (d,J = 6.24 Hz, 2 H), 7.42 (d,J = 7.80 Hz, 1 H), 7.52-7.66 (m, 2 H), 7.79 (s, 1 H), 7.84 (dd,J = 7.90, 1.46 Hz, 1 H), 7.89-8.00 (m, 1 H), 8.85 (t,J = 5.95 Hz, 1 H), 9.23-9.36 (m, 1 H), 10.48 (s, 1 H); LC / MS (m / z ) ES + = 532 (M + 1).Examples 4- Examples 8 antibody - Preparation of drug conjugates The antibody drug conjugate as described below was prepared as described below: Experimental material: VRC01 is expressed in CHO cells. The cell culture supernatant was collected and purified with protein A column and SEC column. The broad-spectrum neutralizing antibody VRC01 is stored in 20 mM histidine buffer (containing 5% sucrose, pH 6.0). Purity by size exclusion chromatography (SEC-HPLC , Figure 1 ) Analysis and electrophoresis of sodium lauryl sulfate polyacrylamide gel (SDS-PAGE , Figure 2 )to make sure.table 3 Four different payload-connectors used to combine (PL ) Designed and prepared as follows: Compound No. 1 (payload A, compoundLA ) Compound No. 2 (payload A, compoundSA ) Compound No. 3 (payload B, compoundSB ) Compound No. 4 (payload B, compoundLB ) among them:LA : Long connector payload ASA : Short connector payload ASB : Short connector payload BLB : Long connector payload B Analytical method HPLC method SEC analysis methodtable 4 The free drug analysis is described in Table 5, where the report is presented in Example 4.table 5 UV method for measuring DAR: UV / Vis and SEC (UV detector) based on Beer-Lambert Law A = E * c * l A280 = E mAb 280 * [mAb] * l + E PL 280 * [PL] * l A315 = E mAb 315 * [mAb] * l + E PL 315 * [PL] * l [mAb]: mAb concentration PL: payload-linker [PL]: payload-linker concentration E: molar extinction coefficient c: concentration l: optical path (Nanodrop: 0.1 cm)Examples 4 Chemical compoundSB A solution in dimethylacetamide (DMA, 10 mg / mL) was obtained by combining 1.2 mg of the compoundSB (Compound No. 3) was prepared by dissolving in 0.12 mL DMA. Chemical compoundLB The solution in DMA (10 mg / mL) was obtained by combining 2.1 mg of compoundLB (Compound No. 4) was prepared by dissolving in 0.21 mL DMA. Chemical compoundLA A solution in acetonitrile (ACN, 10 mg / mL)LA Prepared by dissolving in 0.17 mL ACN. Chemical compoundSA Solution in ACN (10 mg / mL) by combining 1.3 mg of compoundSA (Compound No. 2) was prepared by dissolving in 0.13 mL ACN. To determine the residence time of the payload-linker, the above preparedLA ,SA andLB , SB The solution is diluted with buffer (50% 100 mM NH4 OAc + 50% acetonitrile) diluted to 1 mg / mL.LA ,SA andLB ,SB Both show two peaks (parent O-Su and hydrolyzed-COOH) within HPLC. The final antibody-drug conjugate (ADC) sample was submitted to HPLC (mixed mode RP column) to determine free payload-linker content. All ADC products had a clear peak at 3.3 min (antibody-related), and no other peaks appeared in the spectrum. The results showed that the remaining free payload-linker concentration in the ADC solution was below the detection limit. To determine the free payload-linker detection limit, prepare different concentrations ofLA ,SA andLB ,SB It was submitted to HPLC (mixed mode RP column), and the results showed that the detection limit of all four payload-linkers was less than 0.0024 μg / mL. Drug-antibody ratio (herein referred to as "DAR") MSExamples 5 Sample Preparation Add 100 μg protein sample to a 1.5 mL tube, so make up 100 μL with 2 μL 1 mol / L Tris-HCl buffer, 2.5 μL PNGase F solution and Milli-Q water. This was thoroughly mixed and incubated at 37 ° C for 4 hours. Using an ultrafiltration tube, 400 μL of 50 mM sodium phosphate buffer was added to the sample, followed by centrifugation at 13000 rpm for 15 minutes. The sample was then transferred to a 1.5 mL tube, and 50 mM sodium phosphate was added to a final volume of 100 μL. 1 μL of sialidase A and 2 μL of O-glycanase were added, and incubated at 37 ° C for 2 hours.table 6 HPLC conditions table 7 MS conditions Examples 6 VRC01-LA and VRC01-SA Preparation Response settings (LA and SA ): VRC01-LA and VRC01-SA, mentioned in Figure 3A and Figure 3B, respectively, to prepare VRC01-LA and VRC01-SA CH3 CN was added to the VRC01 solution in PBS buffer (pH 7.5) and mixed to react, then CH was added3 LA or SA solution in CN. After adding the payload-linker CH3 The total content of CN in the binding solution is 20%. The reaction mixture was then placed in an electroshock (150 rpm) in a 22 ° C incubator for two hours. After two hours, the reaction mixture was removed and by using a rotary desalting column and amicon ultrafiltration (30 kDa), the buffer was replaced with storage buffer and the free payload-linker was removed. About 20-25 mg of final product was obtained and the reaction conversion rates were about 60% and 90%.table 8 * produce 30 mg VRC01-LA * produce 30 mgVRC01-SA Examples 7 VRC01-LB and VRC01-SB Preparation Response settings (LB , SB ) : VRC01-LB and VRC01-SB, mentioned in FIGS. 4A and 4B, respectively, DMA is added to the VRC01 solution in PBS buffer (pH 7.5), and the reaction is appropriately mixed, and then the LB or SB solution in DMA is added. After adding the payload-linker, the total content of DMA in the binding solution was 10%. The reaction mixture was then placed in an electroshock (150 rpm) in a 22 ° C incubator for two hours. After two hours, the reaction mixture was removed and by using a rotary desalting column, the buffer was changed to storage buffer and free drug was removed. About 20-25 mg of final product was obtained and the reaction conversion rates were about 70% and 80%.table 9 * Generate 25-30 mg VRC01-LB and SB; PL: payload-linker remove free payload-linker dialysis card (capacity 0.5-3 mL, MWCO: 10,000) total 4 ADC products (1.9 ml VRC01-SB, 2.1 mL VRC01-LB, 1.65 mL VRC01-LA and 1.15 mL VRC01-SA) were dialyzed 6 times with 500 mL buffer (20 mM histidine, pH 6.0) to remove the free payload-connection child. After dialysis, the concentration of ADC product, free drug content and endotoxin produced were determined by UV / Vis, HPLC (mixed mode RP column) and microplate reader. Then 5% sucrose was added to the ADC solution separately. The DAR and aggregate content of ADC products were determined by SEC-HPLC.table 10 Characteristics of all ADCs (no free payload detected-linker: <0.0024 μg / mL) Examples 8 Preparation of VRC01-LA-SB and VRC01-LA-LBResponse settings : The final structural products resulting from the following synthesis are mentioned in Figures 5A and 5B. CH3 CN was added to VRC01 solution in PBS buffer (pH 7.5) and mixed to react, then CH was added3 LA solution in CN. CH3 The total content of CN in the binding solution was 20% and the final mAb concentration in the reaction was 10 mg / mL. After adding the payload-linker, the reaction mixture was then placed on a rotating platform (10 revolutions / minute) in an incubator at 22 ° C for two hours. The reaction mixture was then removed and the free payload-linker (LA) was removed by using amicon ultrafiltration (50 kDa). Approximately 2 mg of ADC was subjected to intact MS and SEC to measure DAR and aggregates. The remaining 18 mg of the reaction mixture was divided into two vials (9.0 mg each) and was subsequently combined with SB and LB, respectively. DMA and the SB and LB solutions in DMA were added to the ADC PBS buffer prepared above. The DMA content in the binding reaction was 20% and the ADC concentration was 10 mg / mL. The binding solution was placed on a rotating platform (10 revolutions / minute) inside a 22 ° C incubator for 2 h. The reaction mixture was then replaced with storage buffer by amicon ultrafiltration (50 kDa) with buffer and the free payload-linker was removed. Finally, the reaction mixture was dialyzed to further remove the free payload-linker to an undetectable level and the buffer was changed (3 days, 6 buffer changes). About 4.5 mg (each) of final product was obtained and the reaction conversion rate was about 50%.Such ADC Determination of free drug content in products : To determine the residence time of mAb and free payload-linker, use dilution buffer (50% 100 Mm NH4 Ac + 50% acetonitrile) Dilute the solution of LA, LB and SB (all drug concentrations are 10 mg / mL) to 0.2 mg / mL. The payload-linker solution was then mixed with the mAb and the final drug concentration and mAb concentration in the sample were 0.1 mg / mL and 1 mg / mL, respectively. LA, LB and SB showed two peaks in HPLC (Supelco HISEP, 4.6 × 250 mm, 5 µm, CJ-00005105). When the mAb concentration in the sample was 1 mg / mL, no peak was displayed at 3.3 min. When the mAb concentration increased to 3 mg / mL, the corresponding peak was observed at 3.3 min, which indicates that the retention time of the mAb is 3.3 min. ADC samples were subjected to HPLC to determine free payload-linker content. The ADC product had a peak at 3.3 min, and no other peaks were observed, indicating that the free payload-linker concentration in the ADC solution was below the detection limit. To determine the detection limit, different concentrations of LA, LB, and SB were prepared and subjected to HPLC, and the results showed that the detection limits of LA, LB, and SB were all less than 0.006 µg / mL.table 11 Features of VRC01-LA-SB * The sample was subjected to de-N-glycosylation and de-O-glycosylation and then measured by MS to obtain MS DAR. * Storage buffer: 20 mM histidine, 5% sucrose, pH 6.0table 12 Features of VRC01-LA-LB * The sample was subjected to de-N-glycosylation and de-O-glycosylation and was measured by MS to obtain MS DAR. * Storage buffer: 20 mM histidine, 5% sucrose, pH 6.0Biological data program Pseudotype virus analysis (PSV) is used to analyze the efficacy of various HIV entry inhibitors. The replication-defective virus consists of a plastid containing the NL4-3 provirus [a luciferase reporter gene containing mutations in the open reading frame (ORF) of the envelope and replacing the nef ORF] and an ORF containing pure envelopes of various HIV gp160 The CMV-promoter is produced by plastid co-transfection. The collected virus was stored in small aliquots at -80 ° C and the titer of the virus was measured to generate a stable signal for antiviral analysis. PSV analysis was performed by using U373 cells as infection target cells, which were stably transformed to express human CD4 as a primary receptor for HIV entry, and human CXCR4 or human CCR5 as a co-receptor for HIV entry. The molecules of interest (including (but not limited to) HIV small molecule inhibitors, HIV neutralizing antibodies, HIV antibody-drug conjugate inhibitors, HIV peptide inhibitors, and various controls) are diluted in tissue culture media and passed Serial dilutions are used for dilution to produce concentrations in the dose range. This dose range is applied to U373 cells and pre-made pseudotyped virus is added. The amount of luciferase signal generated after 3 days of cultivation was used to reflect the level of pseudotyped virus infection. Calculate IC50 or the concentration of inhibitor required to reduce PSV infection by 50% from infection without inhibitor. At the same time, analysis for measuring cytotoxicity is performed to ensure that the observed antiviral activity of the inhibitor can be distinguished from the reduced viability of the target cells. Table 13 provides the results produced in the following Tables 14 to 16 and the materials mentioned in the drawings detailing the structure of each (i.e. drugs, linkers, antibodies, antibody-drug conjugates (`` ADC '')) .table 13 Table 14 provides the efficacy values of drugs and drug-linker materials.table 14 EFV is efavirenz. Table 15 provides various values of drugs, drug-linker materials, and ADC (single payload).table 15 Table 16 provides various values of drugs, drug-linker materials, and ADC (dual payload).table 16 The present invention is advantageous and contributes to this technology. By using ADC technology to tie Xianxin's bNAb with complementary virus coverage and small molecules targeting the envelope, wider virus coverage can be achieved. The pharmacokinetic properties of bNAb (preferably with a half-life extending mutation) can be advantageously used. Without being bound by theory, Xianxin uses a single bNAb of HIV treatment to affect the emergence of resistance. ADCs can possess multiple antiviral modes of action (MoA), all of which target the viral envelope, which can hinder the choice of escape variants and improve resistance patterns. Any cell / tissue other than virus has minimal undesired absorption of small molecules ARV tethered to bNAb, and this can improve its safety profile, tolerability and reduce the effective dose. In summary, the present invention is highly advantageous because antibody-drug conjugates act as bispecific molecules. More specifically, antibodies and drugs linked via linkers target the HIV envelope using two distinct and independent mechanisms of action. Therefore, the present invention is unique to other antibody-drug conjugates, and is useful in treating, preventing, or curing HIV.Sequence Listing SEQ ID NO: 1 SEQ ID NO: 2 SEQ ID NO: 3 SEQ ID NO: 4 SEQ ID NO: 5 SEQ ID NO: 6 SEQ ID NO: 7 SEQ ID NO: 8 SEQ ID NO: 9 SEQ ID NO: 10 SEQ ID NO: 11 SEQ ID NO: 12 SEQ ID NO: 13 SEQ ID NO: 14 SEQ ID NO: 15 SEQ ID NO: 16 SEQ ID NO: 17 SEQ ID NO: 18 SEQ ID NO: 19 SEQ ID NO: 20 SEQ ID NO: 21 SEQ ID NO: 22 SEQ ID NO: 23 SEQ ID NO: 24 SEQ ID NO: 25 SEQ ID NO: 26 SEQ ID NO: 27

1 說明廣譜中和抗體VRC01之尺寸排阻層析(SEC-HPLC )分析。 2 說明廣譜中和抗體VRC01之十二烷基硫酸鈉聚丙烯醯胺凝膠電泳(SDS-PAGE )。 3A 及圖 3B 說明本發明之抗體-藥物結合物之結構; 4A 4B 說明本發明之抗體-藥物結合物之結構;且 5A 及圖 5B 說明本發明之抗體-藥物結合物之結構; 6 說明用於抗體-藥物結合物之藥物-連接子之結構; 7 說明用於抗體-藥物結合物之藥物之結構; 8 說明用於抗體-藥物結合物之藥物-連接子之結構; 9 說明用於抗體-藥物結合物之藥物之結構;且 10 說明gp160附著抑制劑-連接子之代替化合物之結構。 Figure 1 illustrates the size-exclusion chromatography ( SEC-HPLC ) analysis of the broad-spectrum neutralizing antibody VRC01. Figure 2 illustrates the sodium dodecyl sulfate polyacrylamide gel electrophoresis ( SDS-PAGE ) of the broad-spectrum neutralizing antibody VRC01. 3A and 3B illustrate antibodies of the present invention - drug conjugate structure of; Figures 4A and 4B illustrate an antibody of the present invention - drug conjugate structure of; and FIGS. 5A and 5B described antibody of the invention - a drug binding substance of Figure 6 illustrates the structure of the drug-linker for antibody-drug conjugates; Figure 7 illustrates the structure of the drug for antibody-drug conjugates; Figure 8 illustrates the drug-linker for antibody-drug conjugates; Structure; Figure 9 illustrates the structure of the drug used for the antibody-drug conjugate; and Figure 10 illustrates the structure of the gp160 attachment inhibitor-linker replacement compound.

Claims (70)

一種式(I)之抗體-藥物結合物, Ab-L-D (I) 其中: Ab包含對HIV包膜醣蛋白具有結合親和力之廣譜中和抗體(broadly neutralizing antibody); L包含共價鍵結於該廣譜中和抗體之連接子分子;且 D包含共價鍵結於該連接子分子之一或多種藥物,該一或多種藥物能夠結合於該HIV包膜醣蛋白。An antibody-drug conjugate of formula (I), Ab-LD (I) wherein: Ab contains a broad-spectrum neutralizing antibody with binding affinity to HIV envelope glycoprotein; L contains a covalently bound to The linker molecule of the broad-spectrum neutralizing antibody; and D includes one or more drugs covalently bonded to the linker molecule, and the one or more drugs can bind to the HIV envelope glycoprotein. 如請求項1之抗體-藥物結合物,其中該廣譜中和抗體結合於該CD4結合位點。The antibody-drug conjugate of claim 1, wherein the broad-spectrum neutralizing antibody binds to the CD4 binding site. 如請求項2之抗體-藥物結合物,其中該廣譜中和抗體係選自由以下組成之群:VRC01、VRC01 LS、VRC07、VRC07-523、3BNC117、NIH45-46、PGV04、b12、CH31及CH103。The antibody-drug conjugate of claim 2, wherein the broad-spectrum neutralizing antibody system is selected from the group consisting of VRC01, VRC01 LS, VRC07, VRC07-523, 3BNC117, NIH45-46, PGV04, b12, CH31, and CH103 . 如請求項2之抗體-藥物結合物,其中該廣譜中和抗體係VRC01。The antibody-drug conjugate of claim 2, wherein the broad-spectrum neutralizing anti-system VRC01. 如請求項2之抗體-藥物結合物,其中該廣譜中和抗體係VRC01 LS。The antibody-drug conjugate of claim 2, wherein the broad-spectrum neutralizing anti-system VRC01 LS. 如請求項2之抗體-藥物結合物,其中該廣譜中和抗體係VRC07。The antibody-drug conjugate of claim 2, wherein the broad-spectrum neutralizing anti-system VRC07. 如請求項1之抗體-藥物結合物,其中該廣譜中和抗體結合於gp120-gp41界面。The antibody-drug conjugate of claim 1, wherein the broad-spectrum neutralizing antibody binds to the gp120-gp41 interface. 如請求項7之抗體-藥物結合物,其中該廣譜中和抗體係選自由以下組成之群:8ANC195、35O22及PGT151。The antibody-drug conjugate of claim 7, wherein the broad-spectrum neutralizing antibody system is selected from the group consisting of 8ANC195, 35O22, and PGT151. 如請求項1之抗體-藥物結合物,其中該廣譜中和抗體結合於gp41近膜外部區(membrane-proximal external region;MPER)。The antibody-drug conjugate of claim 1, wherein the broad-spectrum neutralizing antibody binds to gp41 membrane-proximal external region (MPER). 如請求項9之抗體-藥物結合物,其中該廣譜中和抗體係選自由以下組成之群:4E10、10E8、2F5、Z13e1。The antibody-drug conjugate of claim 9, wherein the broad-spectrum neutralizing anti-system is selected from the group consisting of 4E10, 10E8, 2F5, Z13e1. 如請求項10之抗體-藥物結合物,其中該廣譜中和抗體係10E8。The antibody-drug conjugate of claim 10, wherein the broad-spectrum neutralizing anti-system 10E8. 如請求項1之抗體-藥物結合物,其中該連接子分子係不可裂解連接子。The antibody-drug conjugate of claim 1, wherein the linker molecule is an uncleavable linker. 如請求項12之抗體-藥物結合物,其中該不可裂解連接子呈現於選自由以下組成之群之抗體-藥物結合物中:The antibody-drug conjugate of claim 12, wherein the uncleavable linker is presented in an antibody-drug conjugate selected from the group consisting of . 如請求項1之抗體-藥物結合物,其中該一或多種藥物係附著抑制劑。The antibody-drug conjugate of claim 1, wherein the one or more drugs are attachment inhibitors. 如請求項1之抗體-藥物結合物,其中該一種或多種藥物係選自由以下組成之群:The antibody-drug conjugate of claim 1, wherein the one or more drugs are selected from the group consisting of: . 如請求項1之抗體-藥物結合物,其中該一或多種藥物係下式化合物:The antibody-drug conjugate of claim 1, wherein the one or more drugs are compounds of the formula: . 如請求項1之抗體-藥物結合物,其中該一或多種藥物係如下肽: Ac-Tyr-Thr-Ser-Leu-Ile-His-Ser-Leu-Ile-Glu-Glu-Ser-Gln- Asn-Gln-Gln-Glu-Lys-Asn-Glu-Gln-Glu-Leu-Leu-GluLeu-Asp- Lys-Trp-Ala-Ser-Leu-Trp-Asn-Trp-Phe-NH2The antibody-drug conjugate of claim 1, wherein the one or more drugs are the following peptides: Ac-Tyr-Thr-Ser-Leu-Ile-His-Ser-Leu-Ile-Glu-Glu-Ser-Gln-Asn -Gln-Gln-Glu-Lys-Asn-Glu-Gln-Glu-Leu-Leu-GluLeu-Asp-Lys-Trp-Ala-Ser-Leu-Trp-Asn-Trp-Phe-NH 2 . 一種式(I)之抗體-藥物結合物,(I) Ab-[L-Dn ]x 其中:Ab 包含廣譜中和抗HIV抗體;L 包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子;D 包含一或多種藥物,其包含共價鍵結於該連接子分子L之HIV治療化合物,其中該一或多種廣譜中和抗HIV抗體Ab特異性結合於HIV包膜醣蛋白且該一或多種藥物D特異性結合於HIV包膜醣蛋白;n 選自1至4;及x 選自1至12。An antibody-drug conjugate of formula (I), (I) Ab- [LD n ] x where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a covalently bound to the broad-spectrum neutralizing anti-HIV antibody Linker molecule; D contains one or more drugs including HIV therapeutic compounds covalently bonded to the linker molecule L, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies Ab specifically bind to HIV envelope glycoproteins And the one or more drugs D specifically bind to HIV envelope glycoprotein; n is selected from 1 to 4; and x is selected from 1 to 12. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab結合於選自由gp160、gp120及gp41組成之群之HIV包膜醣蛋白。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to an HIV envelope glycoprotein selected from the group consisting of gp160, gp120, and gp41. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab結合於該HIV包膜醣蛋白gp120。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein gp120. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab結合於該HIV包膜醣蛋白gp41。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein gp41. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab在gp120/ gp41界面結合於該HIV包膜醣蛋白。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein at the gp120 / gp41 interface. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab結合於該HIV包膜醣蛋白gp120。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein gp120. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體Ab在CD4-結合位點結合於該HIV包膜醣蛋白。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody Ab binds to the HIV envelope glycoprotein at the CD4-binding site. 如請求項18之抗體-藥物結合物,其中該廣譜中和抗體結合於gp41近膜外部區(MPER)。The antibody-drug conjugate of claim 18, wherein the broad-spectrum neutralizing antibody binds to gp41 near the membrane outer region (MPER). 如請求項1至24之抗體-藥物結合物,其中該廣譜中和抗體Ab係選自由以下組成之群:2G12、2F5、3BC176、3BNC60、3BNC117、4E10、8ANC131、8ANC195、10E8、10-1074、12A12、35O22、b12、B2530、CH01-04、CH103、CH31、HJ16、M66.6、N6、N6-LS、NIH45-46、PG9、PG16、PGDM1400、PGT121、PGT128、PGT135、PGT141-PGT145、PGT151、PGV04、VRC01、VRC01-LS、VRC07、VRC07-523、VRC07-LS及Z13。The antibody-drug conjugate of claims 1 to 24, wherein the broad-spectrum neutralizing antibody Ab is selected from the group consisting of: 2G12, 2F5, 3BC176, 3BNC60, 3BNC117, 4E10, 8ANC131, 8ANC195, 10E8, 10-1074 , 12A12, 35O22, b12, B2530, CH01-04, CH103, CH31, HJ16, M66.6, N6, N6-LS, NIH45-46, PG9, PG16, PGDM1400, PGT121, PGT128, PGT135, PGT141-PGT145, PGT151 , PGV04, VRC01, VRC01-LS, VRC07, VRC07-523, VRC07-LS and Z13. 如請求項19之抗體-藥物結合物,其中該廣譜中和抗體Ab係選自由以下組成之群:VRC01、VRC01-LS、VRC07、VRC07-523、VRC07-LS、3BNC117、NIH45-46、PGV04、b12、CH31、CH103、N6及N6-LS。The antibody-drug conjugate of claim 19, wherein the broad-spectrum neutralizing antibody Ab is selected from the group consisting of: VRC01, VRC01-LS, VRC07, VRC07-523, VRC07-LS, 3BNC117, NIH45-46, PGV04 , B12, CH31, CH103, N6 and N6-LS. 如請求項19之抗體-藥物結合物,其中該廣譜中和抗體係VRC01。The antibody-drug conjugate of claim 19, wherein the broad-spectrum neutralizing anti-system VRC01. 如請求項19之抗體-藥物結合物,其中該廣譜中和抗體係VRC01-LS。The antibody-drug conjugate of claim 19, wherein the broad-spectrum neutralizing anti-system VRC01-LS. 如請求項19之抗體-藥物結合物,其中該廣譜中和抗體係VRC07。The antibody-drug conjugate of claim 19, wherein the broad-spectrum neutralizing anti-system VRC07. 如請求項26之抗體-藥物結合物,其中該廣譜中和抗體係選自由以下組成之群:8ANC195、35O22及PGT151。The antibody-drug conjugate of claim 26, wherein the broad-spectrum neutralizing antibody system is selected from the group consisting of 8ANC195, 35O22, and PGT151. 如請求項26之抗體-藥物結合物,其中該廣譜中和抗體係選自由以下組成之群:4E10、10E8、2F5、Z13e1。The antibody-drug conjugate of claim 26, wherein the broad-spectrum neutralizing antibody system is selected from the group consisting of 4E10, 10E8, 2F5, Z13e1. 如請求項26之抗體-藥物結合物,其中該廣譜中和抗體係N6。The antibody-drug conjugate of claim 26, wherein the broad-spectrum neutralizing anti-system N6. 如請求項28之抗體-藥物結合物,其中該廣譜中和抗體包含以下6個CDR:CDRH1 (SEQ ID NO:3)、CDRH2 (SEQ ID NO:4)、CDRH3 (SEQ ID NO:5)、CDRL1 (SEQ ID NO:6)、CDRL2 (SEQ ID NO:7)及CDRL3 (SEQ ID NO:8)。The antibody-drug conjugate of claim 28, wherein the broad-spectrum neutralizing antibody comprises the following 6 CDRs: CDRH1 (SEQ ID NO: 3), CDRH2 (SEQ ID NO: 4), CDRH3 (SEQ ID NO: 5) , CDRL1 (SEQ ID NO: 6), CDRL2 (SEQ ID NO: 7) and CDRL3 (SEQ ID NO: 8). 如請求項28之抗體-藥物結合物,其中該廣譜中和抗體包含具有與SEQ ID NO:9至少90%序列一致性之重鏈及具有與SEQ ID NO:10至少90%序列一致性之輕鏈。The antibody-drug conjugate of claim 28, wherein the broad-spectrum neutralizing antibody comprises a heavy chain having at least 90% sequence identity with SEQ ID NO: 9 and a sequence having at least 90% sequence identity with SEQ ID NO: 10 Light chain. 如請求項28之抗體-藥物結合物,其中該廣譜中和抗體包含SEQ ID NO:9之重鏈可變區及SEQ ID NO:10之輕鏈可變區。The antibody-drug conjugate of claim 28, wherein the broad-spectrum neutralizing antibody comprises the heavy chain variable region of SEQ ID NO: 9 and the light chain variable region of SEQ ID NO: 10. 如請求項28及34至36中任一項之抗體-藥物結合物,其中該廣譜中和抗體在該重鏈之位置428處包含白胺酸殘基及在該重鏈之位置434處包含絲胺酸殘基。The antibody-drug conjugate of any one of claims 28 and 34 to 36, wherein the broad-spectrum neutralizing antibody comprises a leucine residue at position 428 of the heavy chain and a position 434 of the heavy chain Serine residues. 如請求項28之抗體-藥物結合物,其中該廣譜中和抗體包含SEQ ID NO:11之重鏈,視情況包含SEQ ID NO:13之輕鏈。The antibody-drug conjugate of claim 28, wherein the broad-spectrum neutralizing antibody comprises the heavy chain of SEQ ID NO: 11, optionally including the light chain of SEQ ID NO: 13. 如請求項33之抗體-藥物結合物,其中該廣譜中和抗體包含以下6個CDR:CDRH1 (SEQ ID NO:14)、CDRH2 (SEQ ID NO:15)、CDRH3 (SEQ ID NO:16)、CDRL1 (SEQ ID NO:17)、CDRL2 (SEQ ID NO:18)及CDRL3 (SEQ ID NO:19)。The antibody-drug conjugate of claim 33, wherein the broad-spectrum neutralizing antibody comprises the following 6 CDRs: CDRH1 (SEQ ID NO: 14), CDRH2 (SEQ ID NO: 15), CDRH3 (SEQ ID NO: 16) , CDRL1 (SEQ ID NO: 17), CDRL2 (SEQ ID NO: 18) and CDRL3 (SEQ ID NO: 19). 如請求項39之抗體-藥物結合物,其中該廣譜中和抗體包含具有與SEQ ID NO:20至少90%序列一致性之重鏈及具有與SEQ ID NO:21至少90%序列一致性之輕鏈。The antibody-drug conjugate of claim 39, wherein the broad-spectrum neutralizing antibody comprises a heavy chain having at least 90% sequence identity with SEQ ID NO: 20 and a sequence having at least 90% sequence identity with SEQ ID NO: 21 Light chain. 如請求項39之抗體-藥物結合物,其中該廣譜中和抗體包含SEQ ID NO:20之重鏈可變區及SEQ ID NO:21之輕鏈可變區。The antibody-drug conjugate of claim 39, wherein the broad-spectrum neutralizing antibody comprises the heavy chain variable region of SEQ ID NO: 20 and the light chain variable region of SEQ ID NO: 21. 如請求項33之抗體-藥物結合物,其中該廣譜中和抗體在該重鏈之位置428處包含白胺酸殘基及在該重鏈之位置434處包含絲胺酸殘基。The antibody-drug conjugate of claim 33, wherein the broad-spectrum neutralizing antibody comprises a leucine residue at position 428 of the heavy chain and a serine residue at position 434 of the heavy chain. 如請求項18至25、27至30、34至36及38中任一項之抗體-藥物結合物,其中該連接子分子係不可裂解連接子。The antibody-drug conjugate of any one of claims 18 to 25, 27 to 30, 34 to 36 and 38, wherein the linker molecule is an uncleavable linker. 如請求項43之抗體-藥物結合物,其中該不可裂解連接子係選自由以下組成之群:The antibody-drug conjugate of claim 43, wherein the uncleavable linker is selected from the group consisting of: . 如請求項43之抗體-藥物結合物,其中該連接子係選自由以下組成之群:The antibody-drug conjugate of claim 43, wherein the linker is selected from the group consisting of: , , and . 如請求項18之抗體-藥物結合物,其中該藥物D特異性結合於選自由gp160、gp120及gp41組成之群之HIV包膜醣蛋白。The antibody-drug conjugate of claim 18, wherein the drug D specifically binds to an HIV envelope glycoprotein selected from the group consisting of gp160, gp120, and gp41. 如請求項18之抗體-藥物結合物,其中該藥物D係附著抑制劑。The antibody-drug conjugate of claim 18, wherein the drug D is an attachment inhibitor. 如請求項47之抗體-藥物結合物,其中該附著抑制劑係gp120附著抑制劑、gp160附著抑制劑或gp41附著抑制劑。The antibody-drug conjugate of claim 47, wherein the attachment inhibitor is a gp120 attachment inhibitor, a gp160 attachment inhibitor, or a gp41 attachment inhibitor. 如請求項47之抗體-藥物結合物,其中該附著抑制劑係gp120附著抑制劑或gp160附著抑制劑。The antibody-drug conjugate of claim 47, wherein the attachment inhibitor is a gp120 attachment inhibitor or a gp160 attachment inhibitor. 如請求項18之抗體-藥物結合物,其中該藥物D係下式化合物:The antibody-drug conjugate of claim 18, wherein the drug D is a compound of the formula: . 如請求項18之抗體-藥物結合物,其中該藥物D係下式化合物:The antibody-drug conjugate of claim 18, wherein the drug D is a compound of the formula: . 如請求項18之抗體-藥物結合物,其中該藥物D係結合於CD4之肽。The antibody-drug conjugate of claim 18, wherein the drug D is a peptide that binds to CD4. 如請求項52之抗體-藥物結合物,其中該一或多種藥物係具有包含SEQ ID NO:2之胺基酸序列之肽。The antibody-drug conjugate of claim 52, wherein the one or more drugs are peptides comprising the amino acid sequence of SEQ ID NO: 2. 如請求項18之抗體-藥物結合物,其中該藥物D及連接子L具有以下結構:The antibody-drug conjugate of claim 18, wherein the drug D and linker L have the following structure: . 如請求項18之抗體-藥物結合物,其中該藥物D具有式A:其中: X及Y獨立地選自由以下組成之群:H、(C1 -C6 )烷基、(C1 -C6 )烷氧基、鹵基、側氧基(oxo)、鹵烷基、二鹵烷基、三鹵烷基、鹵烷氧基、二鹵烷氧基、三鹵烷氧基、羥基、胺基、醯胺及(C1 -C6 )烷基-(C=O); R1 、R2 、R3 、R4 及R5 各自獨立地選自H或(C1 -C6 )烷基; m在0至5範圍內; n在0至5範圍內; r在1至6範圍內; p在1至6範圍內;及 q在1至6範圍內。The antibody-drug conjugate of claim 18, wherein the drug D has formula A: Wherein: X and Y are independently selected from the group consisting of: H, (C 1 -C 6 ) alkyl, (C 1 -C 6 ) alkoxy, halo, pendant (oxo), haloalkyl , Dihaloalkyl, trihaloalkyl, haloalkoxy, dihaloalkoxy, trihaloalkoxy, hydroxyl, amine, amide and (C 1 -C 6 ) alkyl- (C = O ); R 1 , R 2 , R 3 , R 4 and R 5 are each independently selected from H or (C 1 -C 6 ) alkyl; m is in the range of 0 to 5; n is in the range of 0 to 5; r In the range of 1 to 6; p in the range of 1 to 6; and q in the range of 1 to 6. 如請求項55之抗體-藥物結合物,其中: X選自Cl及F; Y係H; m為2; n為1; R1 、R2 、R3 、R4 及R5 各自獨立地為H; r在1至4範圍內; p在1至4範圍內;及 q在1至4範圍內。The antibody-drug conjugate of claim 55, wherein: X is selected from Cl and F; Y is H; m is 2; n is 1; R 1 , R 2 , R 3 , R 4 and R 5 are each independently H; r is in the range of 1 to 4; p is in the range of 1 to 4; and q is in the range of 1 to 4. 一種抗體藥物結合物,其係選自由以下組成之群:其中t在1至12範圍內。An antibody drug conjugate selected from the group consisting of: , , , Where t is in the range of 1 to 12. 一種式(I)之抗體-藥物結合物,(I) Ab-[L-Dn ]x 其中:Ab 包含廣譜中和抗HIV抗體;L 包含共價鍵結於該廣譜中和抗HIV抗體之連接子分子;D 包含一或多種藥物,其包含共價鍵結於該連接子分子L之HIV治療化合物,其中該一或多種廣譜中和抗HIV抗體Ab特異性結合於HIV包膜醣蛋白且該一或多種藥物D特異性結合於HIV包膜醣蛋白;n 選自1至4;x 選自1至12,其中該抗體-藥物結合物包含(1)共價鍵結於第一連接子分子L之第一藥物D,該第一連接子分子L共價鍵結於該廣譜中和抗體;及(2)共價鍵結於第二連接子分子L之第二藥物D,該第二連接子分子L共價鍵結於該廣譜中和抗體。An antibody-drug conjugate of formula (I), (I) Ab- [LD n ] x where: Ab contains a broad-spectrum neutralizing anti-HIV antibody; L contains a covalently bound to the broad-spectrum neutralizing anti-HIV antibody Linker molecule; D contains one or more drugs including HIV therapeutic compounds covalently bonded to the linker molecule L, wherein the one or more broad-spectrum neutralizing anti-HIV antibodies Ab specifically bind to HIV envelope glycoproteins And the one or more drugs D specifically bind to the HIV envelope glycoprotein; n is selected from 1 to 4; x is selected from 1 to 12, wherein the antibody-drug conjugate comprises (1) a covalent bond to the first connection The first drug D of the daughter molecule L, the first linker molecule L is covalently bonded to the broad-spectrum neutralizing antibody; and (2) the second drug D is covalently bonded to the second linker molecule L, the The second linker molecule L is covalently bonded to the broad-spectrum neutralizing antibody. 如請求項58之抗體-藥物結合物,其中該第一藥物D與該第二藥物D相同。The antibody-drug conjugate of claim 58, wherein the first drug D is the same as the second drug D. 如請求項58之抗體-藥物結合物,其中該第一藥物D與該第二藥物D不同。The antibody-drug conjugate of claim 58, wherein the first drug D is different from the second drug D. 如請求項58之抗體-藥物結合物,其中該兩種藥物係選自由以下組成之群:gp120附著抑制劑、gp160附著抑制劑及其組合。The antibody-drug conjugate of claim 58, wherein the two drugs are selected from the group consisting of gp120 attachment inhibitors, gp160 attachment inhibitors, and combinations thereof. 如請求項18之抗體-藥物結合物,其中該抗體-藥物結合物係包含一或多種肽融合至重鏈及/或輕鏈之C端之融合蛋白且其中該連接子長度為1-50個胺基酸。The antibody-drug conjugate according to claim 18, wherein the antibody-drug conjugate comprises one or more peptides fused to the C-terminus of the heavy chain and / or light chain and the linker is 1-50 in length Amino acid. 如請求項1至25、27至30、34至36、38及46至62中任一項之抗體-藥物結合物,其係用作藥劑。The antibody-drug conjugate of any one of claims 1 to 25, 27 to 30, 34 to 36, 38, and 46 to 62, which is used as a medicament. 如請求項1至25、27至30、34至36、38及46至62中任一項之抗體-藥物結合物,其係用於治療HIV感染。The antibody-drug conjugate of any one of claims 1 to 25, 27 to 30, 34 to 36, 38, and 46 to 62, which is used to treat HIV infection. 一種醫藥組合物,其包含如請求項1至62中任一項之抗體-藥物結合物,及醫藥學上可接受之賦形劑。A pharmaceutical composition comprising the antibody-drug conjugate according to any one of claims 1 to 62, and a pharmaceutically acceptable excipient. 如請求項65之醫藥組合物,其包含一或多種其他藥劑。The pharmaceutical composition of claim 65, which contains one or more other pharmaceutical agents. 如請求項65之醫藥組合物,其包含一或多種其他HIV治療劑。The pharmaceutical composition of claim 65, which comprises one or more other HIV therapeutic agents. 如請求項65至67中任一項之醫藥組合物,其係用作藥劑。The pharmaceutical composition according to any one of claims 65 to 67, which is used as a medicament. 如請求項65至67中任一項之醫藥組合物,其係用於治療HIV感染。The pharmaceutical composition according to any one of claims 65 to 67, which is used to treat HIV infection. 一種如請求項1至62中任一項之抗體-藥物結合物或如請求項65至67中任一項之醫藥組合物的用途,其係用於製造供治療、治癒或預防個體HIV感染之藥劑。Use of an antibody-drug conjugate according to any one of claims 1 to 62 or a pharmaceutical composition according to any one of claims 65 to 67 for the manufacture, treatment, cure or prevention of HIV infection in an individual Pharmacy.
TW106122147A 2016-07-01 2017-06-30 Antibody-drug conjugates and therapeutic methods using the same TW201811376A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201662357410P 2016-07-01 2016-07-01
US62/357,410 2016-07-01

Publications (1)

Publication Number Publication Date
TW201811376A true TW201811376A (en) 2018-04-01

Family

ID=59399452

Family Applications (1)

Application Number Title Priority Date Filing Date
TW106122147A TW201811376A (en) 2016-07-01 2017-06-30 Antibody-drug conjugates and therapeutic methods using the same

Country Status (5)

Country Link
US (1) US20190328900A1 (en)
EP (1) EP3478324A1 (en)
JP (1) JP2019524687A (en)
TW (1) TW201811376A (en)
WO (1) WO2018002902A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117138104A (en) * 2023-09-18 2023-12-01 潍坊医学院附属医院 Antioxidant protein peptide-based nano hydrogel for burn wound surface

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112638426B (en) * 2018-09-21 2023-06-16 中国人民解放军军事科学院军事医学研究院 Aromatic nitro-based linker, antibody conjugated drug containing linker and use of linker
WO2020163269A1 (en) * 2019-02-04 2020-08-13 Xenetic Biosciences, Inc. Methods of using glycopolysialylated therapeutic proteins
TW202104274A (en) * 2019-04-09 2021-02-01 法商賽諾菲公司 Trispecific and/or trivalent binding proteins for treatment of hiv infection
WO2021076965A1 (en) * 2019-10-17 2021-04-22 Minicircle, Inc. Nucleic acids encoding hiv neutralizing antibodies and uses thereof
MX2022006940A (en) * 2019-12-09 2022-07-11 Viiv Healthcare Co PHARMACEUTICAL COMPOSITIONS.
EP4255472A2 (en) * 2020-12-07 2023-10-11 VIIV Healthcare Company Combination therapy
CA3216175A1 (en) 2021-04-05 2022-10-13 Altheia Science S.R.L. Diagnosis and treatment of myeloid disorders and acute leukemias using novel tumor specific antigens
CN115590965B (en) * 2021-06-28 2024-06-28 前沿生物药业(南京)股份有限公司 APTC conjugates for the treatment and/or prophylaxis of HIV-related diseases and uses thereof
CN115590976B (en) * 2021-06-28 2025-06-27 前沿生物药业(南京)股份有限公司 APC conjugate for treating and/or preventing HIV-related diseases and its preparation method and application
IL313306A (en) * 2021-12-17 2024-08-01 Viiv Healthcare Co Combination therapies for hiv infections and uses thereof
CA3255414A1 (en) 2022-04-05 2023-10-12 Altheia Science S R L Treatment of myeloid disorders and acute leukemias targeting novel tumor specific antigens
US20240398969A1 (en) * 2023-06-01 2024-12-05 Taimed Biologics Inc. Antibody-drug conjugates for treating infections of human immunodeficiency virus (hiv)

Family Cites Families (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB427857A (en) 1934-08-02 1935-05-01 Newsum Sons & Company Ltd H A new or improved system of construction for skeleton structures, particularly vehicle body frames and door frames
US4107288A (en) 1974-09-18 1978-08-15 Pharmaceutical Society Of Victoria Injectable compositions, nanoparticles useful therein, and process of manufacturing same
US5336603A (en) 1987-10-02 1994-08-09 Genentech, Inc. CD4 adheson variants
US5208020A (en) 1989-10-25 1993-05-04 Immunogen Inc. Cytotoxic agents comprising maytansinoids and their therapeutic use
US5145684A (en) 1991-01-25 1992-09-08 Sterling Drug Inc. Surface modified drug nanoparticles
US5464933A (en) 1993-06-07 1995-11-07 Duke University Synthetic peptide inhibitors of HIV transmission
NZ311319A (en) 1995-06-07 2000-01-28 Trimeris Inc The treatment of HIV and other viral infections using the peptide DP-178 or DP-107 in combination therapy
US5714586A (en) 1995-06-07 1998-02-03 American Cyanamid Company Methods for the preparation of monomeric calicheamicin derivative/carrier conjugates
US20070258987A1 (en) 2000-11-28 2007-11-08 Seattle Genetics, Inc. Recombinant Anti-Cd30 Antibodies and Uses Thereof
US20040110785A1 (en) 2001-02-02 2004-06-10 Tao Wang Composition and antiviral activity of substituted azaindoleoxoacetic piperazine derivatives
IL157940A0 (en) 2001-03-19 2004-03-28 Ono Pharmaceutical Co Drugs containing triazaspiro [5.5] undecane derivatives as the active ingredient
AR048098A1 (en) 2004-03-15 2006-03-29 Wyeth Corp CALIQUEAMYCIN CONJUGATES
MXPA06014065A (en) 2004-06-01 2007-01-31 Genentech Inc Antibody drug conjugates and methods.
US7750116B1 (en) 2006-02-18 2010-07-06 Seattle Genetics, Inc. Antibody drug conjugate metabolites
US9005889B2 (en) 2007-01-16 2015-04-14 The Johns Hopkins University Synergistic antiviral compositions comprising a viral attachment inhibitor, integration inhibitor, and proviral transcription inhibitor
WO2008122039A2 (en) 2007-04-02 2008-10-09 The Government Of The United States Of America, As Represented By The Secretary, Department Of Health And Human Services Selenocysteine mediated hybrid antibody molecules
EP3561513A1 (en) 2007-05-23 2019-10-30 Ventana Medical Systems, Inc. Polymeric carriers for immunohistochemistry and in situ hybridization
BRPI0911442A2 (en) 2008-04-30 2019-03-12 Immunogen, Inc. potent conjugates and hydrophilic binders
JP5622117B2 (en) 2008-07-21 2014-11-12 ポリテリクスリミテッド Novel reagents and methods for conjugating biomolecules
EP2549276B1 (en) 2009-08-10 2015-02-25 UCL Business PLC Reversible covalent linkage of functional molecules
CA2809819A1 (en) 2009-09-09 2011-03-17 Centrose, Llc Extracellular targeted drug conjugates
CA2774636C (en) 2009-09-25 2019-05-21 The United States Of America, As Represented By The Secretary, Department Of Health And Human Services Neutralizing antibodies to hiv-1 and their use
WO2011046623A2 (en) 2009-10-16 2011-04-21 Duke University Hiv-1 antibodies
CA2785410A1 (en) * 2009-12-23 2011-06-30 Carlos F. Barbas, Iii Tyrosine bioconjugation through aqueous ene-like reactions
US20110256157A1 (en) 2010-04-15 2011-10-20 Spirogen Limited Pyrrolobenzodiazepines and conjugates thereof
US20130244905A1 (en) 2010-07-06 2013-09-19 Ed Grabczyk Reporter for RNA Polymerase II Termination
WO2012040562A2 (en) 2010-09-24 2012-03-29 International Aids Vaccine Initiative Novel hiv-1 broadly neutralizing antibodies
AU2011323354B2 (en) * 2010-11-03 2014-07-31 Ibc Pharmaceuticals, Inc. Dock-and-lock (DNL) constructs for human immunodeficiency virus (HIV) therapy
US8637024B2 (en) 2010-11-12 2014-01-28 The Rockefeller University Fusion antibodies for HIV therapy
WO2012106578A1 (en) 2011-02-04 2012-08-09 The United States Of America, As Represented By The Secretary, Department Of Health And Human Services HIV NEUTRALIZING ANTIBODIES HAVING MUTATIONS IN CONSTANT DOMAIN (Fc)
ES2898854T3 (en) 2011-05-27 2022-03-09 Ambrx Inc Compositions Containing, Methods Involving, and Uses of Unnatural Amino Acid Linked Dolastatin Derivatives
US8815226B2 (en) 2011-06-10 2014-08-26 Mersana Therapeutics, Inc. Protein-polymer-drug conjugates
EP2753644A1 (en) 2011-09-09 2014-07-16 Universiteit Utrecht Holding B.V. Broadly neutralizing vhh against hiv-1
CA2850103C (en) 2011-10-14 2019-09-10 Spirogen Sarl Pyrrolobenzodiazepines
JP6393617B2 (en) 2011-10-14 2018-09-19 シアトル ジェネティクス,インコーポレーテッド Pyrrolobenzodiazepine and target conjugates
WO2013053872A1 (en) 2011-10-14 2013-04-18 Spirogen Sàrl Synthesis method and intermediates useful in the preparation of pyrrolobenzodiazepines
CA2850375C (en) 2011-10-14 2019-07-02 Seattle Genetics, Inc. Pyrrolobenzodiazepines and targeted conjugates
WO2013070776A1 (en) 2011-11-07 2013-05-16 The United States Of America, As Represented By The Secretary, Department Of Health & Human Services Neutralizing gp41 antibodies and their use
WO2013068874A1 (en) 2011-11-11 2013-05-16 Pfizer Inc. Antibody-drug conjugates
BR112014013526A8 (en) 2011-12-05 2017-06-13 Igenica Biotherapeutics Inc antibody-drug conjugates and related compounds, compositions and methods
CN108676091B (en) 2011-12-08 2022-04-01 美国政府(由卫生和人类服务部的部长所代表) Neutralizing antibodies to HIV-1 and uses thereof
IL285049B (en) 2012-10-18 2022-07-01 California Inst Of Techn Broadly-neutralizing anti-hiv antibodies
JP6855661B2 (en) 2012-10-23 2021-04-07 シンアフィックス ビー.ブイ. Modified antibodies, antibody conjugates and methods for preparing them
EP2765138B1 (en) 2012-11-05 2018-01-10 International Aids Vaccine Initiative HIV-1 envelope glycoprotein
EP3608332B1 (en) 2013-03-15 2022-06-01 GlaxoSmithKline Biologicals SA Vaccine against human rhinovirus
TWI641620B (en) 2013-08-21 2018-11-21 再生元醫藥公司 Anti-prlr antibodies and uses thereof
US9587012B2 (en) 2013-12-02 2017-03-07 Aaron Diamond Aids Research Center Bispecific HIV-1 neutralizing antibodies
US10093720B2 (en) 2014-06-11 2018-10-09 International Aids Vaccine Initiative Broadly neutralizing antibody and uses thereof
WO2016196975A1 (en) 2015-06-03 2016-12-08 The United States Of America, As Represented By The Secretary Department Of Health & Human Services Neutralizing antibodies to hiv-1 env and their use
CN115010805B (en) 2015-11-03 2025-01-28 美国政府(由卫生和人类服务部的部长所代表) HIV-1 GP41 neutralizing antibodies and their uses

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117138104A (en) * 2023-09-18 2023-12-01 潍坊医学院附属医院 Antioxidant protein peptide-based nano hydrogel for burn wound surface

Also Published As

Publication number Publication date
EP3478324A1 (en) 2019-05-08
US20190328900A1 (en) 2019-10-31
JP2019524687A (en) 2019-09-05
WO2018002902A1 (en) 2018-01-04

Similar Documents

Publication Publication Date Title
TW201811376A (en) Antibody-drug conjugates and therapeutic methods using the same
US11655285B2 (en) Human immunodeficiency virus neutralizing antibodies
US8911728B2 (en) High-affinity fully functional soluble single-domain human CD4, antibodies, and related fusion proteins
CN113544145B (en) FC fusion proteins neutralizing type 1 interferon and uses thereof
US20250250328A1 (en) Antigen Binding Proteins
HK40072519A (en) Human immunodeficiency virus neutralizing antibodies
WO2025229019A1 (en) Neutralizing antibody constructs against hiv
JP2025541605A (en) antigen-binding proteins
HK40079368B (en) Human immunodeficiency virus neutralizing antibodies
HK40079368A (en) Human immunodeficiency virus neutralizing antibodies
HK1261190A1 (en) Human immunodeficiency virus neutralizing antibodies
HK1261190B (en) Human immunodeficiency virus neutralizing antibodies
Couto Synthetic antibodies targeting HIV-1 infectivity
HK40002876A (en) Human immunodeficiency virus neutralizing antibodies